The Claims Lifecycle AI API analyzes and flags professional claims based on the volume of all claims of particular types that Change Healthcare observes in its API data flows. Using machine learning, it detects discrepancies and gives a percentage likelihood for denial of a claim. Rules as a Service does not use machine learning; it relies on lengthy Rule/Edit collections for many medical business specialties to validate your claims. Consider Claims Lifecycle AI API to be a complementary API for grooming and claim scrubbing.
Updated 6 months ago