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AI in health insurance - full title: Learning Exchange on Artificial Intelligence for Health Insurance Claims Adjudication and Fraud Control

Leads of program and analytics for AI for claims adjudication and fraud detection in National Health Insurance Agencies in countries

online sessions

regular sessions over 3 months

EN

2025-01-06

15 participants

...

  • Understand the use of AI for health insurance processes in various countries, especially methods deployed in claims adjudication and fraud control including implementation considerations and emerging learnings from country implementation experience. As countries are at various stages of using AI, this enables cross- ideation and learning from country experience.

  • Gain insights from countries on applicability and implementation considerations on innovative developments with relation to AI methods and tools available for claims adjudication and fraud control.

Partner: Amref Health Network

Amrefis the largest Africa-based international health development organisation currently implementing over 150 programs in 35 countries and directly impacting about 12 million people.