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ISSN: 2582-8266 (Online)  || UGC Compliant Journal || Google Indexed || Impact Factor: 9.48 || Crossref DOI

Fast Publication within 2 days || Low Article Processing charges || Peer reviewed and Referred Journal

Research and review articles are invited for publication in Volume 18, Issue 2 (February 2026).... Submit articles

Convergence of AI and Healthcare Administration: Transforming Patient Data Processing and Claims Management Through Intelligent Automation

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  • Convergence of AI and Healthcare Administration: Transforming Patient Data Processing and Claims Management Through Intelligent Automation

Pradeep Chandramohan *

Salem Infotech Inc., USA.

Review Article

World Journal of Advanced Engineering Technology and Sciences, 2025, 15(02), 2540–2551

Article DOI: 10.30574/wjaets.2025.15.2.0780

DOI url: https://doi.org/10.30574/wjaets.2025.15.2.0780

Received on 09 April 2025; revised on 24 May 2025; accepted on 26 May 2025

This article examines the transformative impact of artificial intelligence and automation technologies on healthcare administrative workflows, focusing on patient data processing and claims management. Healthcare organizations face significant administrative inefficiencies that burden the system with excessive costs and divert clinical resources away from patient care. The article explores how AI-driven solutions are revolutionizing key administrative processes including patient application processing, hospital claims validation, regulatory compliance, and data security. Through article analysis of implementation data across multiple healthcare settings, the article demonstrates how these technologies substantially reduce processing times, minimize error rates, enhance fraud detection, strengthen compliance, and improve cybersecurity while simultaneously generating significant cost savings. The integration of AI into administrative workflows not only addresses immediate operational challenges but also enables healthcare professionals to redirect their focus toward patient care activities, ultimately leading to improved healthcare delivery and outcomes.

Healthcare Automation; Artificial Intelligence; Claims Validation; Regulatory Compliance; Administrative Efficiency

https://wjaets.com/sites/default/files/fulltext_pdf/WJAETS-2025-0780.pdf

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Pradeep Chandramohan. Convergence of AI and Healthcare Administration: Transforming Patient Data Processing and Claims Management Through Intelligent Automation. World Journal of Advanced Engineering Technology and Sciences, 2025, 15(02), 2540–2551. Article DOI: https://doi.org/10.30574/wjaets.2025.15.2.0780.

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