Identify Healthcare Payment Gaps Through Rapid Generative AI-Driven Payment Integrity Concept Development
Shift Risk Detection into Turbo Speed. See it in Action.
Concept ClaimPilot
Concept ClaimPilot is the first generative AI-powered, no-code solution for rapid concept development and proactive risk detection for healthcare payment integrity. The solution enables non-technical teams to quickly create, test, and refine payment integrity rules, accelerating the identification of healthcare payment gaps.
Concept ClaimPilot is part of Codoxo’s ClaimPilot suite of generative AI-driven payment integrity solutions, including:
Faster, Cost-Efficient Concept Development & Risk Detection Driven by Generative AI
Proactive AI-driven concept ideation
Reduces concept development timelines
From weeks to hours
Empowers non-technical users
To easily explore claims data and develop new rules
Streamlines communications
Between concept developers and data analysts/scientists
Quickly creates & tests
Healthcare claim payment methods, allowing for proactive risk spotting
Intuitive, Generative AI-Powered Concept Development & Testing
- Natural language, code-free concept development
Enables clinicians and reviewers to create new concepts using simple language, no technical skills required - Automated rule generation & deployment
Facilitates the creation and automatic monitoring of payment integrity rules - Intuitive data mining
Allows users to mine claims data for patterns without needing data science expertise
- Identification of Improper payments
Through proactive concept development - Rapid concept testing
Quickly tests new ideas, identifying issues before further development
Exponential Payment Integrity Efficiency Gains
Reduces
Identifies
Enhances
Relevant Content
Smarter Healthcare Cost Containment Starts With Codoxo
Concept ClaimPilot is part of Codoxo’s Unified Cost Containment Platform, empowering healthcare organizations to take a seismic shift left by ensuring faster, more accurate claim payments, reduced fraud, waste, and abuse, and enhanced operational efficiency. By transforming the landscape of healthcare cost containment and payment integrity with industry-leading AI, Codoxo is at the forefront of making healthcare more affordable and effective.
Explore Codoxo’s Unified Cost Containment Platform Products & Services
Provider Scope
Bring down costs pre-claim with proactive and automated provider education.
Audit Scope
Automate and streamline end-to-end audit detection and workflow while ensuring compliance.
Fraud Scope
Automatically and accurately detect new and emerging fraud schemes, streamline evidence chain collections, and integrate workflows for FWA investigations.
Payment Scope
Identify claim accuracy issues before claims are paid with unique claim insights, easy-to-use claim workflow, and automated provider outreach.
Clinical ClaimPilot
Automate medical record reviews with generative AI, speeding up reviews and increasing audit accuracy.
Compliance ClaimPilot
Validate provider contracts and medical policies to ensure payment accuracy and reduce manual errors.
Concept Claimpilot
Accelerate concept development of new claim payment methods and proactively spot payment gaps with generative AI.
Medical Record Reviews Services
Speed turnaround times and increase accuracy for in-patient, facility, and DRG audits with generative AI-driven medical record reviews services.
Data Mining Services
Uncover more overpayments with AI-driven outsourced healthcare data mining services.
Virtual SIU Services
Offload SIU compliance and scale operations through end-to-end virtual resources and services.