The Role of Predictive Analytics in Claims Adjudication

The Role of Predictive Analytics in Claims Adjudication

Blog Article

Predictive analytics is transforming claims adjudication by identifying potential issues before they lead to denials or payment delays. AI-driven tools analyze historical claims data to predict errors and fraud risks.

Sagility’s predictive analytics solutions help payers proactively address claim discrepancies, improving efficiency and reducing costly rework. With real-time risk assessment, payers can streamline their claims workflows and minimize disruptions.

Harnessing predictive analytics enhances claims accuracy and improves payer-provider relationships.