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Employee Benefits

Blues plan uses A.I. to spot potential fraudulent claims

February 01, 2023 Reprints

Blue Cross Blue Shield of Massachusetts is using artificial intelligence to detect fraudulent claims, an issue that costs the health care system billions of dollars every year and raises costs on health plan members, reports Becker’s Payer Issues. The insurer has developed an algorithm that looks through its claims data and flags any suspicious activity before the claim is paid.

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Blues plan uses A.I. to spot potential fraudulent claims

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