Glossary: C

Information Technologies

What is Conversational AI?

Conversational AI is a sophisticated branch of artificial intelligence that combines natural language processing (NLP) and machine learning (ML) to enable computers and software applications to understand, interpret, and engage in meaningful human-like conversations. Unlike simple rule-based chatbots, conversational AI uses contextual understanding and continuous learning to process speech or text inputs, generate relevant responses, and maintain dialogue flow across various platforms including chatbots, virtual assistants, and voice-activated devices.

This technology enhances customer experiences by providing instant, personalized support and automating routine tasks, making interactions more natural and efficient while scaling across industries such as customer service, healthcare, finance, and retail.

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Medicare will pilot AI-driven prior authorization in 2026 across six states, targeting high-risk services while clinicians make final decisions.

AI-Powered Prior Authorization Comes to Traditional Medicare

Traditional Medicare will pilot AI-assisted prior authorization in 2026 across six states, focusing on high-risk outpatient services. Clinicians retain final say, but incentives and access concerns loom as CMS tests fraud reduction and “gold card” exemptions. Here’s what providers and patients should know.

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