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Jan 30, 2023
We are starting to integrate augmented intelligence (Upstate / Downstate PDF) into our dental claims review process to help process claims more efficiently. This new technology will help improve the speed and accuracy of our claims processing.
Unlike artificial intelligence, augmented intelligence allows for human control, intervention, and oversight in real time. Dental imaging (x-rays), periodontal charting, and provider narratives will be matched against plan benefits, limitations, and guidelines to help us process claims more efficiently.
Many dentists and insurance companies have already started using augmented intelligence. Dentists use the technology to help detect untreated disease, while insurance companies use it for tasks like claims review and fraud, waste, and abuse monitoring.
Please contact your sales representative if you would like more information.
SpecialtyRx Savings Navigator will be available this June for new or renewing ASO Large Groups and National accounts with 500 or more subscribers. It’s provided by our pharmacy benefit manager, CarelonRx. SpecialtyRx Savings Navigator offers comprehensive specialty drug cost management that helps...
We will continue our Large and Small Group marketing campaign for employers still with Humana. It will continue through April and, tentatively, through September. If one of your clients responds, we will connect with you to keep you involved. Our messaging will showcase Anthem’s value story and ...