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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
Potential Vendors
GE Healthcare
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)
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