Health plan finds new value with AI-enabled clinical reviews
See how the safe application of AI can drive additional value and improve health plan results—without replacing human expertise.
Difficulties with medical record retrieval can hinder a health plan’s payment integrity efforts, resulting in lost savings to track down erroneous billing and wasting valuable resources that would be better spent improving care quality for members.
When a large regional health plan experienced issues with medical record retrieval, it turned to Cotiviti’s experts and AI-enabled chart selection to improve its clinical review program. Read our case study to learn how the plan grew its savings by 6x in one year while:
- Lowering administrative burden
- Maintaining positive provider relationships
- Enabling AI to focus on the right claims
See how the safe application of AI can drive additional value and improve health plan results—without replacing human expertise.