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Using artificial intelligence to manage health provider non-compliance
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The objective of this audit is to assess the effectiveness of the consideration and use of automation and artificial intelligence (A&AI) in the management of health benefits integrity.
Audit criteria
The ANAO proposes to examine:
- Are there fit for purpose governance arrangements in relation to A&AI?
- Are there fit for purpose arrangements for the deployment of A&AI models in the management of health provider non-compliance and maintenance of benefits integrity?
- Is A&AI effectively used to manage health provider non-compliance?