AI-Driven EOB (Explanation of Benefits) in Healthcare To Declutter Clerical Work: An Introduction

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An explanation of benefits (EOB) details a patient’s coverage, the treatment they have received, what the payer covered and did not cover, as well as other pertinent details. Traditionally, specialists manually gather and compile this information from each individual insurance portal. It must be done daily and requires managing multiple secure log-ins in addition to the data being downloaded. AI can provide an automated solution to this time-consuming and inefficient process. It would parse EOB continuously and securely, accessing individual insurance portals, pulling EOBs in one, standard, user-friendly format.