Change Healthcare announces AI for claims management at HIMSS19

The new Claims Lifecycle Artificial Intelligence works with Change's Intelligent Healthcare Network to improve the revenue cycle, the company says.

By Tom Sullivan

February 12, 2019

10:58 AM

ORLANDO — Change Healthcare on Tuesday here at HIMSS19 announced its new Claims Lifecycle Artificial Intelligence technology.

The new functionality in Change's Intelligent Healthcare Network is designed to improve the revenue cycle by reducing denials, identifying missing charges and reducing time to adjudicate, according to Nick Giannasi, Change’s chief AI officer.

“We built it entirely in Amazon’s cloud to leverage some of the key services,” said GIannasi.

Change has undertaken a beta pilot for Amazon SageMaker, he added, using Change’s data, machine learning algorithms and data scientists.

Giannasi said Change has a dataset based on billions of claims funneling through its systems that AI runs through to pinpoint patterns at the simplest level to better understand what is being denied, and why.

“Because of the volumes of data, it can understand it at scale, much like the scale that Google and Netflix have helps them,” Giannasi said, adding that reason codes and the AI make predictions and present those in a meaningful way. “It’s classic machine or deep learning to look at those patterns.”

Customers can buy Claims Lifecycle Artificial Intelligence as an add-on subscription through Change’s network, through its EHR channel partners, or further down the line as outsourced revenue cycle service, the company said.