Another AI technology with relevance to claims and payment administration is machine learning, which can be used for probabilistic matching of data across different databases.
Another AI technology with relevance to claims and payment administration is machine learning, which can be used for probabilistic matching of data across different databases. Insurers have a duty to verify whether the millions of claims are correct. Reliably identifying, analysing and correcting coding issues and incorrect claims saves all stakeholders – health insurers, governments and providers alike – a great deal of time, money and effort. Incorrect claims that slip through the cracks constitute significant financial potential waiting to be unlocked through data-matching and claims audits.