As AI adoption accelerates across clinical documentation, coding, and billing workflows, health plans are facing new challenges balancing claims accuracy, operational efficiency, and provider collaboration. Join Alaffia for a candid discussion on how AI-driven claims intelligence can help plans address emerging upcoding risk, improve oversight in high-impact areas, and move closer to a shared source of truth across the claims lifecycle.
- Where health plans are seeing the most volatility in complex, high-dollar claims such as sepsis
- How plans are adapting review and oversight models in an AI-enabled environment while reducing provider abrasion
- How clinician-informed, agentic AI can support scalable payment integrity and workflow automation across pre-pay and post-pay settings
- How payers can use AI to improve coding accuracy, strengthen payer-provider alignment, and support defensible outcomes
In partnership with Alaffia Health
