Despite revenue growth, healthcare payers have faced increasing margin pressures over the past year as healthcare costs continue to climb. Introducing new efficiencies into key operations such as claims processing will be critical for payers seeking to buck worrisome industry trends and outperform competitors.

Traditional claims audit processes tended to be reactive and labor-intensive, making them inadequate to meet the demands of a complex healthcare payments ecosystem where mistakes can lead to financial losses totaling millions if not billions of dollars. Today, there’s an urgent need to ensure accuracy and compliance in claims processing.

By leveraging innovative technologies — including robotic process automation, advanced workflow management, analytics and AI/GenAI — l

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