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The rule laid out an interoperability journey that supports seamless data exchange between payers and providers alike — enabling future functionalities and technically incremental use cases. These requirements enable the exchange of important data between healthcare payers and providers.
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Healthcare industries including pharma, biotech, agrochemical and insurance have been using knowledge graphs to improve discoverability in a number of new and innovative ways. By maintaining a referential knowledge bases, health insurance agencies have been able to automatically discover inconsistencies within insurance claims.
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