{
  "compiled_by": "Actigy BPO",
  "checked": "2026-10-18",
  "data": [
    {
      "metric": "Administrative cost avoidance",
      "value": 258,
      "unit": "USD billion",
      "period": "2024",
      "source_id": 1,
      "qualification": "Estimated electronic-transaction and data-exchange savings; not AI-only"
    },
    {
      "metric": "Remaining automation opportunity",
      "value": 21,
      "unit": "USD billion",
      "period": "2025 Index",
      "source_id": 1,
      "qualification": "Industry estimate; not an Actigy forecast"
    },
    {
      "metric": "Exploring use cases",
      "value": 42.4,
      "unit": "percent respondents",
      "period": "Late 2025 survey; 2026 report",
      "sample": 191,
      "source_id": 2,
      "qualification": "AI OR automation; PDF page 8"
    },
    {
      "metric": "Implemented point solutions",
      "value": 39.4,
      "unit": "percent respondents",
      "period": "Late 2025 survey; 2026 report",
      "sample": 191,
      "source_id": 2,
      "qualification": "AI OR automation; PDF page 8"
    },
    {
      "metric": "Not yet explored",
      "value": 16.4,
      "unit": "percent respondents",
      "period": "Late 2025 survey; 2026 report",
      "sample": 191,
      "source_id": 2,
      "qualification": "AI OR automation; PDF page 8"
    },
    {
      "metric": "Broadly integrated",
      "value": 1.8,
      "unit": "percent respondents",
      "period": "Late 2025 survey; 2026 report",
      "sample": 191,
      "source_id": 2,
      "qualification": "AI OR automation; PDF page 8"
    },
    {
      "metric": "Reported denial rates at least 10 percent",
      "value": 41,
      "unit": "percent respondents",
      "period": "2025",
      "sample": 250,
      "source_id": 3,
      "qualification": "Not percentage of all claims denied"
    },
    {
      "metric": "AI use",
      "value": 14,
      "unit": "percent respondents",
      "period": "2025",
      "sample": 250,
      "source_id": 3,
      "qualification": "Self-reported"
    },
    {
      "metric": "Believe AI can improve claims",
      "value": 67,
      "unit": "percent respondents",
      "period": "2025",
      "sample": 250,
      "source_id": 3,
      "qualification": "Belief, not measured treatment effect"
    },
    {
      "metric": "Denials increased over previous 12 months",
      "value": 24,
      "unit": "percent respondents",
      "period": "Jan-Feb 2026",
      "sample": 200,
      "source_id": 4,
      "qualification": "Separate survey from State of Claims 2025"
    },
    {
      "metric": "Automation greatest impact at registration and verification",
      "value": 49,
      "unit": "percent respondents",
      "period": "Jan-Feb 2026",
      "sample": 200,
      "source_id": 4,
      "qualification": "Respondent assessment"
    },
    {
      "metric": "CPT precision",
      "value": 79,
      "unit": "percent",
      "period": "2025 preprint",
      "source_id": 5,
      "qualification": "Fine-tuned Phi-3 Medium; task-specific institutional data"
    },
    {
      "metric": "CPT recall",
      "value": 77,
      "unit": "percent",
      "period": "2025 preprint",
      "source_id": 5,
      "qualification": "Not a universal production accuracy rate"
    }
  ]
}