---
title: Where the manual cost in claim adjudication actually sits
description: The line-item every health insurance COO reads on a Monday morning. Reviewer hours per case, the appeal-rate tax, the documentation-shortfall denials. What gets cheaper, and what doesn't, when AI handles the front pass.
date: 2026-04-24
tag: Industry
reading_minutes: 5
canonical: https://vihaya.ai/blog/the-cost-of-manual-claim-adjudication
publisher: Vihaya
---

# Where the manual cost in claim adjudication actually sits

> The line-item every health insurance COO reads on a Monday morning. Reviewer hours per case, the appeal-rate tax, the documentation-shortfall denials. What gets cheaper, and what doesn't, when AI handles the front pass.

**Published:** 2026-04-24  ·  **Topic:** Industry  ·  **Reading time:** ~5 min

---

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