HCIactive is set to launch the Predictive Administrative Intelligence (PAI) framework, utilizing AI to preemptively identify potential administrative issues for carriers, TPAs, employers, and brokers. PAI builds on existing AI platforms like VIRA Audit and SmartBenefits.ai to improve operational efficiency. It includes features like Predictive Eligibility Tracking and Forecasted Claims & Accumulator Behavior to address eligibility and claims-related risks early. The system also forecasts member experience to reduce confusion and streamline support services. HCIactive plans to roll out PAI in phases from 2025 to 2026, aiming to revolutionize accuracy and clarity in administrative processes.

Read more at Yahoo Finance: HCIactive to release predictive administrative intelligence framework