Inside Digital Health June 24, 2019
Samara Rosenfeld

Change Healthcare today announced the application of its artificial intelligence (AI)-enabled technology to its claims management suite, which the company said could improve patient satisfaction and help reduce administrative burden caused by claims denials.

Change Healthcare applied its Claims Lifecycle AI to its claims management suite by introducing Assurance Reimbursement Management Denial Propensity Scoring and Revenue Performance Advisor Denial Prevention. The company said these tools help provider organizations by using AI models to predict claims propensity and identify denials before submission.

“We took millions of claims to train the models and enable them to make predictions so that when it sees a new claim, it can pick up on the pattern of whether it is likely to be denied,” Jason...

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Topics: AI (Artificial Intelligence), Health System / Hospital, Insurance, Payer, Physician, Primary care, Provider, RCM (Revenue Cycle Mgmt), Technology
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