The SSI Group and Janus Health have announced their strategic partnership to release Enhanced Claim Status, a next-generation claims management solution that will assist healthcare organizations in streamlining their revenue cycle through intelligent automation and deep claims visibility. Based on Janus Health’s Claim Intelligence platform, this new product offers detailed claim data at a line level, empowering revenue cycle departments to effectively spot, prioritize, and handle claims.
The product is expected to make its official appearance at the HFMA Annual Conference 2026, where SSI will present the new feature. Those who have started using it have noticed notable enhancements in operations such as a 40% decrease in time spent on manual payer portal checking, over five hours of additional staff availability each day, and a 12% increase in monthly account management capacity.
Addressing a Longstanding Revenue Cycle Challenge
For healthcare providers who have to deal with various complicated payer networks, keeping track of claims status is still one of the most time-consuming areas of revenue cycle management. Most of the time, staff members are busy with continuously checking claim statuses, only to discover that there is almost no useful information or none at all. When there are changes, most of the time, the information is limited to top-level status codes which mean that the payer’s portal still has to be checked for further investigation.
This method is making the teams get lost in many systems, collect information by hand, and waste their precious time on the same administrative tasks. As a result, the resolution of claims is getting postponed, the cash flow is being slower, the operational costs are rising, and the staff’s productivity is getting lower.
Enhanced Claim Status was introduced to eradicate these wastages by offering in-depth claim information straight into one’s current workflow, lessening the reliance on manual portal access, and facilitating quicker reaction to claims that need one’s attention.
How Enhanced Claim Status Improves Claims Management
The solution integrates Janus Health’s Claim Intelligence technology directly into SSI’s revenue cycle platform and a health system’s electronic health record (EHR) environment. By delivering detailed line-level claim information directly to patient accounts, the platform provides revenue cycle teams with earlier visibility into claim outcomes and actionable next steps.
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Enhanced Claim Status is configured according to each organization’s operational standards and payer performance requirements, ensuring that teams receive relevant, timely information tailored to their specific workflows.
The platform operates through three key components:
Enhanced Claim Status Visibility
The solution provides direct access to line-level claim details within SSI and integrated EHR systems, eliminating the need to log into multiple payer portals. Coverage extends across approximately 80% of a health system’s payer mix, including both national and regional insurers. Information is often available up to five days before the electronic remittance advice (ERA) is received, allowing organizations to take action sooner.
Intelligent Claims Routing
Using enriched claims data, organizations can establish automated routing rules that direct claims to the appropriate work queues, including denial prevention, payer response management, pending claims review, and payment processing. This approach transforms claim follow-up into an exception-based workflow, ensuring staff focus only on accounts that require human intervention.
Accelerated Resolution and Payment Processing
With earlier access to detailed claim information and automated routing capabilities, revenue cycle teams can respond to payer requests faster, prepare appeals sooner, and reconcile payments before remittance advice arrives. This helps reduce accounts receivable days and improves cash flow predictability.
Measurable Results for Healthcare Organizations
Organizations implementing Enhanced Claim Status have reported substantial operational and financial improvements, including:
- 40% reduction in manual claim status checks across payer portals
- More than five hours of additional daily staff capacity
- 12% increase in monthly account management capacity without adding personnel
- Denial appeals and payer responses initiated up to five days earlier
- Automated payment reconciliation processes
- Exception-based claim follow-up workflows covering approximately 80% of payer volume
These results are based on reported client outcomes.
Trusted Across Diverse Healthcare Environments
The broader Claim Intelligence platform is already being utilized by a wide range of healthcare organizations, including academic medical centers, integrated delivery networks, community hospitals, and pediatric healthcare systems. Its scalability and configurability enable consistent performance across organizations of varying sizes, geographic regions, and payer complexities.
“Revenue cycle teams are working harder than ever, with all the effort going toward claims work that should be handled automatically,” said Diana Allen, CEO of The SSI Group. “By partnering with Janus Health, we’re giving health systems access to richer claim data and the automated infrastructure to act on it, without the manual steps that slow everything down. This is about making the claims process work the way it should: intelligently, efficiently, and with far less friction for the teams managing it every day.”
The partnership reflects both companies’ commitment to helping healthcare organizations modernize revenue cycle operations while reducing administrative burden and improving financial performance.
“Health systems are being asked to do more with less at exactly the moment payer complexity is increasing, that’s the environment Claim Intelligence was designed for,” said Todd Doze, CEO of Janus Health. “Our partnership with The SSI Group brings that technology directly into the workflows health systems already depend on, removing the manual burden that slows cash flow and consumes capacity. When you see a 12% monthly increase in account capacity without adding headcount, across health systems of varying size and complexity, that’s tangible acceleration of cash and increased margins.”
By combining advanced automation, intelligent routing, and real-time claims visibility, Enhanced Claim Status aims to help healthcare providers streamline operations, accelerate reimbursements, and improve overall revenue cycle performance in an increasingly challenging healthcare environment.
