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How Payers are Using AI to Deny Claims and Dent Provider Revenue

Summary by Dataemia
Healthcare reimbursement is evolving, with payers increasingly using AI to manage claims, leading to more denials, delays, and appeals for providers. The lack of transparency in AI systems leaves hospitals at a disadvantage when contesting denials. Timely appeals are crucial to avoid revenue loss due to AI-driven denials. Some hospitals have tried to combat payer AI with their own AI tools, but this can result in more denials. To reduce the impa…
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