Knowtion Health and Ghamut Apply AI to Medical Claims Appeals

Knowtion Health and Ghamut Corporation announced in a press release a partnership to apply AI to complex healthcare revenue cycle tasks. The initial work focuses on helping appeals specialists review claims involving medical records, payer policies, regulations and clinical guidelines.

Knowtion identified potential uses based on its claims history and payer knowledge, while Ghamut handled technical implementation. The system helps specialists find relevant clinical information, assess more eligible claims and prepare payment arguments while keeping people responsible for judgment and review.

Knowtion said internal testing showed higher payment recovery rates with the AI support. The company plans to apply the approach to other complex revenue cycle tasks under its existing security and privacy protocols.