AI Use Case

Review documents and information to support insurance claim processing and identify potential issues

Initially screening health insurance claims to detect incorrect claims

Function

Benefits

Cost - Job automation,Cost - Fraud reduction,Operational Support - Issue triage

Case Studies

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

Industry

Healthcare

Healthcare Providers And Services

Data Sets

Text

AI Technologies

Product Type - Natural Language Processing (NLP),ML Task - Prediction - Data Translation/Transformation,ML Task - Grouping - Clustering,Machine Learning (ML)

Potential Vendors

GE Healthcare