// BLOG

Beyond the flow

Procurement, healthcare and Enterprise AI. What happens when a digital team takes over transactional work, told with numbers.

AI in Tasy: auditing hospital bills before billing, with fewer denials
Healthcare

AI in Tasy: auditing hospital bills before billing, with fewer denials

AI in Tasy for claims audit means reviewing every patient bill before it closes and goes to billing, not after the payer's denial arrives. An AI agent reviews 100% of bills, points out the likely denial reason and the suggested fix, and leaves the decision with the auditor.

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Hospital claim denials from the payer's side: criteria, justification and how to cut unfounded denials on both sides
Healthcare

Hospital claim denials from the payer's side: criteria, justification and how to cut unfounded denials on both sides

A hospital claim denial (glosa, in Brazil) is the payer's refusal to pay all or part of a billed item, with a coded TISS reason the hospital can appeal. This guide covers the types and reason codes, how payers justify each item, fair versus unfounded denials and what each error costs, ANS appeal rules and how consistent auditing cuts unfounded denials.

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How process discovery works with process mining and AI
Enterprise AI

How process discovery works with process mining and AI

Process discovery reconstructs how a process really runs, from the event logs your systems already record (process mining) or from the people who do the work. Here is how each method works, what it delivers and what should act on the findings.

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