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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
Potential Vendors
GE Healthcare
Industry
Financial Services
Insurance
Data Sets
Structured / Semi-structured
AI Technologies
Machine Learning (ML),ML Task - Grouping - Anomaly Detection
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