Abstract
<jats:p>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.</jats:p>