Generative AI is transforming healthcare payment integrity by tackling fraud, waste, and abuse, which cost the U.S. up to $430B annually. By automating claims review, detecting coding errors, preventing duplicate payments, and identifying fraudulent activity, AI reduces manual effort and accelerates audits. Clinicians can shift from document-heavy tasks to higher-value work, with audit turnaround times dropping from weeks to under 24 hours. Key benefits include scalability, improved compliance, and elimination of review dollar thresholds. Adoption requires balancing data security, bias mitigation, and human oversight, ensuring accuracy and trust in payment processes.

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