Automated Claims Processing (ACP)

Automate claims processing to achieve real time responses while minimising claims leakage

ACP module uses complex deep neural networks to learn from historical claims enabling near instant TAT while controlling leakages.

  • ACP automates claims decisioning on admissibility and adjudicates payable amounts accurately enabling near instant response to customers

  • With knowledge from claims history, ACP module provides data driven inputs to claims assessors thus reducing processing time for complex claims while maintaining decision quality.

  • With knowledge from claims history, ACP module provides data driven inputs to claims assessors thus reducing processing time for complex claims while maintaining decision quality.

  • Periodic retraining enables ACP module to learn new patterns from feedback to continuously improve overall coverage

ACP module uses complex deep neural networks to learn from historical claims enabling near instant TAT while controlling leakages.

Automate claims decisioning on complex health claims with high confidence

ACP automates claims decisioning on admissibility and adjudicates payable amounts accurately enabling near instant response to customers

Reduce time spent on complex claims through augmented inputs

With knowledge from claims history, ACP module provides data driven inputs to claims assessors thus reducing processing time for complex claims while maintaining decision quality.

Reduce time spent on complex claims through augmented inputs

With knowledge from claims history, ACP module provides data driven inputs to claims assessors thus reducing processing time for complex claims while maintaining decision quality.

Continuously improve automation coverage through feedback learning

Periodic retraining enables ACP module to learn new patterns from feedback to continuously improve overall coverage

Key Product Features

Process claims in near real time

Claims Decisioning at various stages

Rapid implementation reduces the time to production

Learns from both structured and unstructured data sets

Business controls that allow easy configurations

Comprehensive medical knowledge based built through unsupervised learning

Multi-user profile and role allocations

Easy to use dashboards to outline deep insights

Automated Claims Processing (ACP) module – integrates with claims workflow through APIs. Easy, Fast & Secure.

Assistive AI – autonomous AI system to continuously optimize the target strategy across different touch points

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