Change Healthcare adds AI to claims management suite to predict, prevent denials

Nashville, Tenn.-based Change Healthcare announced June 24 the integration of artificial intelligence technology into its existing claims management solutions to automatically identify claims that could result in denials.

The new processes utilize Change Healthcare's Claims Lifecycle AI, which was introduced earlier this year to optimize the entire claims processing system for providers and payers. In its new iteration, the AI will not only predict which claims may be denied, but also offer recommendations to help providers optimize claims submissions to prevent those denials.

A Change Healthcare analysis of more than 500 million service lines in 2018 demonstrated how the company's proprietary AI could flag up to 35 percent of potential denials before claim submission, representing an estimated savings of $6.2 billion in forecasted allowed amounts and millions more in administrative costs.

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