In a Forbes article published April 25, Alex Zukerman, chief strategy officer at analytics and consulting firm Sapiens, listed four major areas where payers can benefit from AI-powered automation.
- Customer support: Member questions about plan policies, claims statuses and billing can be answered in multiple languages.
- Underwriting: Data collection and analysis can be improved by looking for similar past cases, underwriters can better identify risk patterns and predictive modeling can help foresee risk better.
- Claims processing: Information on claims forms and documents can be extracted and categorized faster than doing it manually.
- Fraud detection: When integrated with claims processing, ChatGPT can identify inconsistent patterns and language and flag them for a claims reviewer.
At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.
