Agentic AI for Payers

The health insurance landscape is changing. Payers have seen their costs rise, the population age, the workforce stretched thin, and their data and technology ecosystems become even more complex. Thankfully, there are also new developments in artificial intelligence that promise to bring relief in all these areas.

AI isn’t just an exciting promise; leading payer organizations are already seeing significant results. Payers are automating workflows across enrollment, enhancing member engagement, and streamlining utilization management to boost productivity and long-term member satisfaction. All this is possible with agentic AI, which has the power to overcome challenges of integration, scale, and interoperability.

This whitepaper will discuss AI agents and payer-specific customer relationship management (CRM) applications that augment human teams and enable payers to create healthier businesses, communities, and outcomes.

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