Aetna has created artificial intelligence (AI) software to settle claims, a solution that could provide a blueprint for broader automation of complex processes at the health insurance giant. The software rapidly parses complex healthcare provider contracts, whose blend of information about medical conditions and financial data often tax the patience of the trained humans who process them.
“It really comes down to providing a better experience” for end users, says Aetna CTO Claus Jensen, adding that the software will help the company be a better partner in the health-care ecosystem for providers and patients. “We have to do more than just pay the bills and answer questions on the phone.”
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(Insider Story)
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