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AI Driven Healthcare Claims Modernization: Scalable EDI Pipelines, Intelligent Validation, and Enterprise Quality Engineering Architectures
ISBN Book

AI Driven Healthcare Claims Modernization: Scalable EDI Pipelines, Intelligent Validation, and Enterprise Quality Engineering Architectures

Author:
Devi Manoharan

ISBN: 978-93-49929-03-6

DOI: https://doi.org/10.63282/978-93-49929-03-6


AI Driven Healthcare Claims Modernization: Scalable EDI Pipelines, Intelligent Validation, and Enterprise Quality Engineering Architectures explores the transformative role of Artificial Intelligence in modernizing healthcare claims processing systems. The book focuses on designing scalable Electronic Data Interchange (EDI) pipelines, implementing intelligent validation mechanisms, and establishing robust quality engineering architectures to improve accuracy, efficiency, and compliance. It highlights how AI-driven automation can streamline claims management, reduce processing errors, accelerate reimbursements, and enhance decision-making across healthcare enterprises. Combining healthcare informatics, data engineering, and quality assurance practices, the book serves as a valuable resource for healthcare professionals, technology leaders, researchers, and system architects seeking to build intelligent and resilient claims processing ecosystems.


Devi Manoharan is an Enterprise Quality Engineering and AI Specialist with over 17 years of experience in healthcare, insurance, and financial services technology. Throughout a distinguished career, Devi has led large-scale modernization initiatives focused on healthcare claims processing, EDI integration, intelligent automation, and enterprise quality engineering.

Devi specializes in AI-driven quality engineering, HIPAA X12 EDI transactions, healthcare claims adjudication, event-driven architectures, and enterprise data transformation. With extensive experience designing scalable validation frameworks, automation solutions, and modern healthcare integration platforms, Devi has helped organizations improve operational efficiency, data quality, regulatory compliance, and system reliability.

A published researcher, speaker, reviewer, and innovator, Devi Manoharan actively contributes to advancements in healthcare technology, artificial intelligence, and software quality engineering. Through research, publications, conference presentations, and industry collaboration, Devi is committed to advancing intelligent, scalable, and reliable healthcare systems that support the future of digital healthcare transformation.


Title: AI Driven Healthcare Claims Modernization: Scalable EDI Pipelines, Intelligent Validation, and Enterprise Quality Engineering Architectures
Author: Devi Manoharan
Publisher: ScienceTech Xplore
Copyright: ScienceTech Xplore
Language: English
Publication Format: Online
ISBN: 978-93-49929-03-6
DOI: https://doi.org/10.63282/978-93-49929-03-6
Subject/Genre: Healthcare Technology
Pages: 1-236
Chapters: 16
Year of Publication: 2026
URL: https://sciencetechxplore.org/978-93-49929-03-6.php
Cite As:

Manoharan, D. (2026). AI Driven Healthcare Claims Modernization: Scalable EDI Pipelines, Intelligent Validation, and Enterprise Quality Engineering Architectures. ScienceTech Xplore. https://doi.org/10.63282/978-93-49929-03-6

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