OscarAI Blog
In the spirit of constantly learning, we are experimenting with several AI use cases and documenting our discoveries.
Automated Claims System Configuration
With AI, we’re exploring ways to automate the translation of provider contracts into highly accurate claims configurations.
Rating Member Services Interactions With LLMs
In our member services operations, we ask members to rate their interactions with us on member satisfaction (MSAT, general satisfaction with Oscar) and agent satisfaction (ASAT, their satisfaction with the care guide who helped them). How good is GPT-4 at estimating those two ratings from member services transcripts?
Claims Assistant
A bot is trained to understand system logs and PDFs, breaking down the cost of procedures and identifying how insurance logic was applied in each case.
Clinical Documentation
An AI-generated clinical documentation system that automatically summarizes and documents conversations between our medical team and patients.