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Jopari Solutions (Concord, California) and Verisk (Jersey City, N.J.) have announced a strategic collaboration to modernize insurance medical claims review by integrating AI tools into existing billing and adjudication workflows.

The partnership brings Verisk’s AI-powered medical record review and severity scoring models into Jopari’s electronic medical billing and attachments platform. The goal is to reduce manual

Steve Stevens, CEO, Jopari Solutionsprocessing, improve claims accuracy, and identify high-risk cases earlier in the lifecycle.

A Jopari statement notes that medical record review is widely viewed as one of the most time-intensive steps in the claims process. Verisk’s automation tools can reduce processing time by up to 90 percent while maintaining decision quality, the statement adds.

“Claims organizations are under immense pressure to do more with less,” comments Steve Stevens, CEO, Jopari Solutions. “By combining Jopari’s nationwide healthcare provider delivery infrastructure with Verisk’s advanced AI and analytics, we will give carriers the ability to intervene earlier, process smarter, and resolve claims faster.”

Integrating Advanced Analytics

Verisk describes the collaboration as part of its broader ecosystem approach, integrating advanced analytics into clients’ workflows to enhance outcomes without adding complexity.

“Our clients are asking for smarter, more connected solutions,” says Carrie Barr, president, Casualty solutions, Verisk. “By combining our strengths with those of partners like Jopari, we’re working to accelerate and improve workflows to speed up decisions and enhance outcomes while reducing the IT burden for faster implementation.”

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