THE APPROACH

  • Source and collect medical claims from physicians and patients in hundreds of formats.
  • Extract, transform and align data into a consolidated format for a uniform reporting structure.
  • Leverage Natural Language Processing (NLP) and Machine Learning (ML) to analyze claims.
  • Catalogue results and source documents to create a reference database.
  • Quick retrieval of source documents for auditing and compliance.

The Benefits

  • Identify root causes of denials and provide targeted training that improves pull-through rates.
  • Reduce write-offs and the reprocessing time for denied claims.
  • Flag and mitigate fraudulent submissions to reduce losses.
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