@oliviafanpage121:

arielle roark

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Monday 28 November 2022 02:01:03 GMT

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#bodycam #cops

A hospital sends a treatment claim as a PDF, and a medical officer at the insurer reads every row to decide whether that treatment is justified for the diagnosis. It is slow, it drifts between reviewers, and overtreatment gets paid. The obvious build hands the whole PDF to a model and asks whether the claim is fraudulent. That gives you one verdict, no evidence, and no way for a reviewer to disagree with part of it. ⠀ A single claim carries thirty separate decisions, and I was not willing to collapse them into one number nobody could defend in an audit. So I decomposed before I reasoned. The first stage extracts the claim row by row, capturing the procedure, the drug, the dose, the quantity and the cost. Each row is then matched against a knowledge base of international treatment guidelines, with the patient history and diagnosis pulled from the insurer database alongside it. ⠀ Scores come in bands, and the band drives a colour on the rendered claim so a reviewer stops only where it matters. Every row also carries a written explanation and a link to the exact section of the guideline used, because a bare score gives a doctor nothing to argue with. What document does your team still read line by line to decide something? ⠀ Follow @gamechangerai for more. ⠀ #ai #machinelearning #insurtech #healthtech #rag

A hospital sends a treatment claim as a PDF, and a medical officer at the insurer reads every row to decide whether that treatment is justified for the diagnosis. It is slow, it drifts between reviewers, and overtreatment gets paid. The obvious build hands the whole PDF to a model and asks whether the claim is fraudulent. That gives you one verdict, no evidence, and no way for a reviewer to disagree with part of it. ⠀ A single claim carries thirty separate decisions, and I was not willing to collapse them into one number nobody could defend in an audit. So I decomposed before I reasoned. The first stage extracts the claim row by row, capturing the procedure, the drug, the dose, the quantity and the cost. Each row is then matched against a knowledge base of international treatment guidelines, with the patient history and diagnosis pulled from the insurer database alongside it. ⠀ Scores come in bands, and the band drives a colour on the rendered claim so a reviewer stops only where it matters. Every row also carries a written explanation and a link to the exact section of the guideline used, because a bare score gives a doctor nothing to argue with. What document does your team still read line by line to decide something? ⠀ Follow @gamechangerai for more. ⠀ #ai #machinelearning #insurtech #healthtech #rag

Wireless headset ni guna buat main game ke tngok movie ke mmang syokkk #headset #wirelessheadset #bluetoothheadset

Wireless headset ni guna buat main game ke tngok movie ke mmang syokkk #headset #wirelessheadset #bluetoothheadset

T20#cctv #cctvcamera #kameracctv #cctvmurah #cctvmalaysia

T20#cctv #cctvcamera #kameracctv #cctvmurah #cctvmalaysia

I can’t hear, honey. What were you saying? 😚😂⭐ #airport #airportstyle #offmode #airportoutfit

I can’t hear, honey. What were you saying? 😚😂⭐ #airport #airportstyle #offmode #airportoutfit

T/W Chatgpt as a therapist😌 welcome to my yearly midlife crisis!! (If you’re reading this please don’t think I’m being ungrateful! I love my life! When I say I feel stuck I mean I feel like a new chapter in my life is pending like I’m outgrowing myself but that’s not a bad thing! My new self just isn’t fully here yet but she’s on the way I can feel her xxx as soon as she gets a new dining table LOL 🩷🩷 I feel like everyone goes through this every now and then so I wanted to open a convo about it🥰)!! Love you bye xxx

T/W Chatgpt as a therapist😌 welcome to my yearly midlife crisis!! (If you’re reading this please don’t think I’m being ungrateful! I love my life! When I say I feel stuck I mean I feel like a new chapter in my life is pending like I’m outgrowing myself but that’s not a bad thing! My new self just isn’t fully here yet but she’s on the way I can feel her xxx as soon as she gets a new dining table LOL 🩷🩷 I feel like everyone goes through this every now and then so I wanted to open a convo about it🥰)!! Love you bye xxx

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