Printed from

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

Posted On: Feb. 1, 2023 10:12 AM CST

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.