Case Study: a major U.S. comprehensive cancer center reduces oncology denials with Ember AI

How Ember AI Cuts Denials Before They Start

The customer, a major U.S. comprehensive cancer center, faced significant challenges with oncology denials and prior-authorization delays. These preventable denials, accounting for 57% of their initial rate, created revenue loss, patient care delays, and staff burnout. The center partnered with vendor Ember and its AI-driven solutions to address these issues.

Ember implemented its oncology-aware AI engine and weekly policy radar to predict and prevent denials before claims were submitted. The solution automated authorization processes and leveraged historical data to avoid retroactive denials. As a result, early adopter programs cut their cost-to-collect by 46% and reduced the time required for appeals from hours to minutes.