Healthcare Insurance · 5 min read
Claims Adjudication: The Decision Made 500 Million Times a Year That Most Plans Still Get Wrong
A large health plan adjudicates hundreds of millions of claims annually. Payment errors average 3 to 7 percent of total claims spend. Each manual review touch costs $15 to $25. The economic case for AI-assisted adjudication is not an efficiency argument. It is an accuracy and scale argument — and the two compound each other.
12 May 2026
Claims Adjudication
Payment Accuracy
