Traditional rule-based workflow systems have been the backbone of bill review, ensuring compliance with standardized billing guidelines. However, these systems often lack the ability to interpret qualitative aspects of billing, process unstructured data, or adapt dynamically to evolving patterns.

Generative AI (GenAI) enhances workflows by adding narrative understanding, predictive analytics, and contextual insights, creating a comprehensive platform for bill review. This white paper explores how integrating GenAI with rule-based systems enables organizations to streamline processes, enhance compliance, and gain a significant competitive advantage.

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