Enfoque de BCBSMT hacia la IA

Helping People, Improving Health Care

Nuestra filosofía

Artificial intelligence (AI) is changing health care in big ways. It gives us tools to help members faster, improve health outcomes, and lower costs.

Here’s how AI can help:

• Find health problems sooner so members get the care they need.
• Make paperwork simpler so doctors and nurses can spend more time with patients. We never use AI to replace a doctor’s findings or deny care.
• Make health information easier to understand.

At BCBSMT, we believe people should always guide AI. AI supports decisions-it doesn't replace human judgment.

IA responsable en BCBSMT​​​​​​​

We always look to innovate in ways that make sense for our company and our customers. But we also must protect your privacy and keep your health and financial data safe. We follow strict rules, like health privacy laws, to make sure your information stays private and is used the right way.

We also use non-sensitive or anonymous data in AI models when possible. Our policies make sure AI is used responsibly and that we follow the law.

How We Use AI

AI helps us give better service and health outcomes. Estos son algunos ejemplos:

Proactive Health Support
AI can predict when a member might be at risk for serious health issues, like diabetes or hospital readmission. This helps us reach out early and offer extra support.

Better Customer Service
AI tools help members get answers faster so that you spend less time on hold when you call. For complex calls, AI sends them to our most skilled customer advocates. We also use chatbots to help members find benefits and plan details easily.

Claims Processing
AI helps process claims quickly and accurately. It can auto-approve some requests or alert staff if something looks wrong. We never use AI to replace medical findings or deny care.