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.
Risk reduction - Reduced legal exposure,Operational - Lower error rates
Orlando Health~Orlando Health pilots platform to identify patterns in denied health insurance claims to recover payments and avoid future denials
Structured / Semi-structured
Machine Learning (ML),ML Task - Grouping - Anomaly Detection