International Journal on Science and Technology

E-ISSN: 2229-7677     Impact Factor: 9.88

A Widely Indexed Open Access Peer Reviewed Multidisciplinary Bi-monthly Scholarly International Journal

Call for Paper Volume 16 Issue 2 April-June 2025 Submit your research before last 3 days of June to publish your research paper in the issue of April-June.

Enhancing Healthcare Claim Processing with Generative AI: Leveraging AWS Bedrock and SageMaker for Efficiency and Accuracy

Author(s) Perumalsamy Ravindran
Country United States
Abstract Healthcare claims processing faces significant challenges in managing operational efficiency and cost-effectiveness while maintaining regulatory compliance. Integrating Generative AI technologies, specifically through AWS Bedrock and SageMaker platforms, offers transformative solutions for automating and optimizing claims processing workflows. Implementing these advanced technologies substantially improves processing speed, accuracy, and cost reduction across various healthcare organizations. Through intelligent document processing, anomaly detection, fraud prevention, and predictive adjudication capabilities, healthcare providers have significantly reduced administrative overhead while improving claims accuracy and processing efficiency. AI-driven solutions have enabled healthcare organizations to streamline operations, reduce manual intervention requirements, and enhance overall claims management effectiveness. These implementations have demonstrated marked improvements in provider satisfaction, reduced processing times, and increased operational efficiency while maintaining high accuracy standards and regulatory compliance.
Keywords Healthcare Claims Processing, Generative AI, AWS Bedrock, Machine Learning, Fraud Detection
Field Computer Applications
Published In Volume 16, Issue 1, January-March 2025
Published On 2025-03-28
Cite This Enhancing Healthcare Claim Processing with Generative AI: Leveraging AWS Bedrock and SageMaker for Efficiency and Accuracy - Perumalsamy Ravindran - IJSAT Volume 16, Issue 1, January-March 2025. DOI 10.71097/IJSAT.v16.i1.2961
DOI https://doi.org/10.71097/IJSAT.v16.i1.2961
Short DOI https://doi.org/g896d9

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