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Using its proprietary medical-native foundation model, Cofactor AI reviews clinical evidence, coding guidelines, standard of care guidelines, and peer-reviewed studies, and identifies discrepancies between claims, medical documentation, payer policies, and facility contracts. For hospitals, it costs $181 on average to appeal a single claim.
Patient education material in the form of images, documents and videos is pushed to patients through the app, as well. Finally, Qure4u helps care providers navigate the complicated labyrinth of RCM payments and incentives offered through CMS, state Medicaid programs and private payers’ value-based care contracts, the vendor said.
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