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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.

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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.