Decoding insurance claims and medical fraud

Artificial intelligence can help insurance companies and third-party entities to process insurance claims. It can verify data, check for errors and fraud, or find correlations and trends. We count on insurance to be there for us when we need it, and like anything else, it's a system that can be overused and even abused. Artificial intelligence is taking on an important role in the prevention of inaccurate healthcare claims and in innovative claims management. At H2OWorld 2017, in Mountain View, CA, speaker Adam Sullivan of Change Healthcare explained the process of using machine learning to verify healthcare claims data, denied claims, and erroneous payments for hospitals/providers, as well as to predict procedures.