Ubiquiti software enables payers to automatically extract detailed structured information from data, and streamline claims payment activities. Our data-driven software further enables downstream advanced analytics, such as fraud detection and overpayment identification.
Example Application: Overpayment Identification
Ubiquiti's text technologies are in active use in the payer space. Hospital billing item descriptions are coded into standardized concepts, which are then used to drive business rules to help identify overpayment instances.
Our AI technologies can also be used to automatically discover new and anomalous billing patterns, thereby augmenting a rules-driven approach.
Example Application: Compliance with Care Guidelines
- Group records by episodes
- Analyze records at individual and group levels for compliance with care guidelines
- Compare aggregate data across locations to identify potential compliance issues