AI Turns Your Data Into A Strategic Advantage
We help payers extract detailed information from multiple clinical sources of unstructured data. The benefits for our customers include streamlined claims payments and advanced analytical capabilities like fraud detection and overpayment identification. This technology can drive additional applications that support evidence-based medicine as well.
Some examples include:
Hospital billing systems represent an assortment of often byzantine technologies and data formats. Ubiquiti's AI technologies are used widely in the payer space to code hospital billing item descriptions into standardized concepts. These are used to drive business rules that help identify overpayment instances, saving millions of dollars.
Our AI technologies can also automatically discover new and anomalous billing patterns, augmenting existing rules-driven approaches to payments while streamlining this critical process.
Care Guideline Compliance
Healthcare payers must manage complex client and patient care timelines, including proactive guidelines and reactive treatment diagnoses, authorizations, and payments. Efficiently managing these complex processes over millions of clients, cases and interactions while maintaining compliance is challenging and error-prone. Ubiquiti’s AI translates case information into standardized codes that can be assessed for compliance and flagged for further review.
Let AI do the tedious work required to run an accurate, evolving system.