Going beyond the hype
There is a great deal of value to be gained from AI for claim payment integrity if health plans focus on the right areas. Separating the hype around generative AI from where demonstrated success exists—the use of unsupervised machine learning models to protect payment integrity—offers a solid path toward transformational value for health plans and ultimately enhances care for their members.
About the author: Matthew Hawley is executive vice president, payment integrity for Cotiviti.
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