Webinar
From Unstructured Rules to Actionable Graph Previsant's Approach to Improper Payment Detection
Healthcare payment rules are not just text to retrieve. They are conditions, exceptions, codes, and relationships that decide whether a claim should pass or be denied.
In this Community Call, Previsant shows how its platform makes those rules queryable with Memgraph. The demo covers document ingestion, rule extraction, graph modeling, natural language querying, and claims auditing for waste and abuse detection.
What You’ll Learn
- The payment integrity challenge behind waste and abuse detection
- How Previsant extracts rules from healthcare source documents
- How Memgraph stores rule relationships for claims review
- Why explainability is critical for payment integrity decisions