Agentic AI for Healthcare Claim Denial Analysis: A Policy-Grounded Framework for Privacy Preservation
In the healthcare sector, claim denials impose significant financial and administrative burdens, emphasizing the need for automated and trustworthy decision-support systems. This paper proposes a modular Agentic Artificial Intelligence (AI) framework for healthcare claim denial analysis, integrating specialized agents for denial risk prediction, risk factor identification,…
We haven't written up this one. arXiv cs.AI has the full story — the link below goes straight to it.
