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Informative Article | Engineering Science | India | Volume 10 Issue 3, March 2021 | Rating: 4.2 / 10
Member Pick Process in Claim Adjudication Process
Abstract: The Member Pick process plays a vital role in the healthcare claim adjudication process, ensuring that claims are matched to the correct member records. This paper explores the challenges, importance, and technological solutions for optimizing the Member Pick process. Through case studies and analysis, the paper highlights how automation and machine learning can enhance accuracy and efficiency while ensuring compliance with regulatory standards.
Keywords: Claim adjudication, Member pick process, healthcare, data matching, automation, machine learning, accuracy, efficiency
Edition: Volume 10 Issue 3, March 2021,
Pages: 2028 - 2033