The Philippine Health Insurance Corp. (PhilHealth) signs a proof-of-value agreement with Pulse 63 HV Philippines (SwiftClaims) for the use of special software designed to enhance the processing of health insurance claims using artificial intelligence (AI). The proof of concept aims to reduce claims processing time and minimize claims being returned to the health facilities due to deficiencies. The AI-powered system is expected to process claims in real-time, applying complex business rules and validating against PhilHealth policies and guidelines. Signing the agreement are (from left) PhilHealth Chief Information Officer Jovita Aragona and President and Chief Executive Officer Emmanuel Ledesma Jr. and SwiftClaims CEO Louis Kweyamba Maguru and Deputy Managing Director Arvind Appavu. CONTRIBUTED PHOTO
The Philippine Health Insurance Corp. (PhilHealth) signs a proof-of-value agreement with Pulse 63 HV Philippines (SwiftClaims) for the use of special software designed to enhance the processing of health insurance claims using artificial intelligence (AI). The proof of concept aims to reduce claims processing time and minimize claims being returned to the health facilities due to deficiencies. The AI-powered system is expected to process claims in real-time, applying complex business rules and validating against PhilHealth policies and guidelines. Signing the agreement are (from left) PhilHealth Chief Information Officer Jovita Aragona and President and Chief Executive Officer Emmanuel Ledesma Jr. and SwiftClaims CEO Louis Kweyamba Maguru and Deputy Managing Director Arvind Appavu. CONTRIBUTED PHOTO
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