MANILA, Philippines — The Philippine Health Insurance Corporation (PhilHealth) is eyeing the use of an artificial intelligence (AI)–powered pre-validation system to prevent fraudulent health insurance claims and safeguard its funds. The system will electronically check submitted claims to determine whether patients’ laboratory tests match their medical diagnoses, PhilHealth President and Chief Executive Officer Edwin Mercado said during a Palace briefing on Wednesday. READ: Budget watchers flag swelling PhilHealth fund gap “So, within this quarter, we will be implementing something like an AI-enabled pre-validation of claims. Once the e-claims are submitted, the system will be able to detect whether the diagnosis […]... Keep on reading: PhilHealth eyes AI-powered system to detect fraud in health claims