'AI-Driven EOB (Explanation of Benefits) in Healthcare To Declutter Clerical Work: An Introduction' futureofai aiapplications
An explanation of benefits details a patient’s coverage, the treatment they have received, what the payer covered and did not cover, as well as other pertinent details. Traditionally, specialists manually gather and compile this information from each individual insurance portal. It must be done daily and requires managing multiple secure log-ins in addition to the data being downloaded. AI can provide an automated solution to this time-consuming and inefficient process.
An explanation of benefits details a patient’s coverage, the treatment they have received, what the payer covered and did not cover, as well as other pertinent details. While it is not a bill, it is similar to an itemized invoice. With different patients utilizing different insurance companies, larger dental practices, in particular, can become quickly consumed in wrangling data.
Traditionally, specialists manually gather and compile this information from each individual insurance portal. It must be done daily and requires managing multiple secure log-ins in addition to the data being downloaded. After each piece of the EOB puzzle is gathered, it then must be read and sorted, and formats converted where necessary – this may include scanning and uploading digital versions of hard copy documents.
Streamlining complex administrative tasks has profound implications for patient care. Technologies like AI, RPA could parse EOB for dental practices and reduce the time spent on clerical tasks, freeing practice staff from an endless cycle of paperwork.
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