AI halts duplicate spend

Regional NHS healthcare authority became aware of significant ballooning of composite procurement costs and duplicate payments for the same service to different providers. They required a solution to accurately track services procured across providers, identify service billing attribution and isolate duplicate costs and potential fraud.

BML designed and delivered an AI-based solution to automatically map services delivered and provide billing attribution. Our solution included a standardised data model, fully pseudonymised patient data, an integration with providers’ clinical and billing systems, cyber security, AI governance, and automation of billing adjustments and clinical service record corrections.