By Kate Baggaley
Artificial intelligence and machine learning can flag claims errors, prevent fraud, waste and abuse and streamline benefit contract reviews, speakers noted during a session at the AMCP Nexus 2023 meeting.
“We have 100% of our claims run through a technology platform”—a process that has yielded many of the benefits cited above, said Jessica Hatton, PharmD, BCACP, the associate vice president of pharmacy at CareSource, a nonprofit managed care organization,