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Harvard Pilgrim Health Care Embraces Artificial Intelligence From Codoxo To Detect FWA Issues

posted by Codoxo

on April 5, 2021

BACKGROUND

Brian Robinson, Director of Harvard Pilgrim’s Special Investigations Units, wasn’t satisfied with the status quo. His team had been using a traditional rules-based fraud detection system for years but had grown frustrated by the layers upon layers of false positives it identified.

This case study represents the views of the author, not America’s Health Insurance Plans (AHIP). The publication, distribution or posting of this case study by AHIP does not constitute a guaranty of any product or service by AHIP

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