Healthcare DIVE October 24, 2024
Payers currently have a leg up when using AI to review claims, but providers could soon catch up, experts say.
LAS VEGAS — In an escalating technology arms race, providers are beginning to adopt the same technology they say insurers are using to deny claims in masse — artificial intelligence — to combat claims disputes.
Insurers so far have the upper hand in the race to implement AI into the claims review process, panelists at HLTH said this week. Some of the nation’s largest insurers, including UnitedHealth, Humana and Cigna, already leverage algorithmic decision tools when deciding what care to cover.
This week, nonprofit Blue Shield of California said it will also test claims automation technology early next...
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