What is CGI ProperPay AVA?
Our AI virtual assistant leverages the capabilities of generative AI and machine learning to redefine, streamline, and automate payment integrity processes. CGI ProperPay AVA is highly customizable and integrates seamlessly with existing applications and workflows.
Using CGI ProperPay AVA, both insurers and providers can use intelligent document processing to:
- Classify: Separate a medical record into 18 categories, including itemized bills.
- Summarize: Capture key data points within structured or unstructured medical records and itemized bills.
- Query: Locate key information in your data store using AskAVA.
- Automate: Automatically select and identify improperly priced claim lines for auditor validation.
CGI ProperPay AVA - your personal payment integrity assistant
Using CGI’s applied intelligence platform, CGI PulseAI, our team of payment integrity experts applied their extensive domain expertise to create CGI ProperPay AVA. Through the module, applicable AI capabilities, such as automation, decision intelligence, predictive analytics, and conversational AI, are fine-tuned to increase audit team productivity and efficiency.
CGI's AI-powered payment integrity solution offers:
Why use CGI for payment integrity?
- Specialized industry experts: CGI has over 30 years of experience analyzing and auditing government health plans, managed care, and private insurance medical data.
- Business experience from relevant healthcare payer industries: Our team includes clinicians, data scientists, health information management professionals, payment integrity operations specialists, claims operations specialists, and IT professionals.
- Professionals from across the health ecosystem: We engage experts with systems, claims, payer, provider, and clinical backgrounds to collaborate on developing innovative, outcomes-based solutions. Our CGI partners have extensive backgrounds, training, and certifications in healthcare management and clinical coding.
Ready to learn more about CGI ProperPay AVA and our payment integrity solutions?
Connect with our payment integrity experts to learn how CGI ProperPay AVA can automate, optimize, and support your workflows as your personal payment integrity assistant.