Serving as a health plan's first line of defense against improper payments, claim edits are vital for ensuring payment accuracy and cost savings. These edits are based on national, state, or plan-specific standards, policies, and guidelines, and their effectiveness depends on staying updated with this constantly evolving landscape—that’s no simple feat.
In this clip from a recent Shift webinar on enhancing prepayment strategies, Shift Healthcare Data Scientist Juandiego Marquez discusses how to enhance claim edits using GenAI.
Enjoy the clip? View the full webinar here.
If you don't see the video above click the button below to adjust your cookie settings
Manage Cookies
