HOW AI PATTERN ANALYZER WORKS
- Analyzes accounts before submitting eligibility and claim status requests
- Machine Learning detects and corrects inaccurate patient and claim information before submitting requests
- Enables real time corrections to data to increase the success rate of responses
- Ongoing additions to rules provides a comprehensive solution based on provider geography and payer mix
- Available as a service for internal use on a license basis
A Comprehensive rules-based pattern analysis solution
Detects and corrects inaccurate patient and plan information resulting in a 20% - 25% improvement rate in receiving successful claim status responses, which are critical for avoiding costly and time consuming calls to payers
Builds upon the efficiencies gained from our Payer Master – ID Matching as a service by considering changes to patient and plan data based on demographic and external databases
