AI Use Case

Identify health insurance claims that were inappropriately denied by insurance companies

Search through data and find healthcare claims that were denied by insurance companies, discovering the causes and speeding up the resolution process, ensuring healthcare systems are accurately paid.

Function

Benefits

Risk reduction - Reduced legal exposure,Operational - Lower error rates

Case Studies

Orlando Health~Orlando Health pilots platform to identify patterns in denied health insurance claims to recover payments and avoid future denials

Industry

Financial Services

Insurance

Data Sets

Structured / Semi-structured

AI Technologies

Machine Learning (ML),ML Task - Grouping - Anomaly Detection

Potential Vendors

GE Healthcare