ALFRED – Unified AI Health Claims Automation, Risk, Fraud & Decision Platform

AI Health Claims Automation & Fraud Prevention

As you are aware, Insurtech is picking up throughout the world. However, the users’ movements patterns have completely changed post-COVID. What was true before isn’t true anymore. 
COVID-19’s most impact is on Health, it may be individual, family, employee or relatives. Due to this more & more health claims are also getting notified to Payers/Providers. This has impacted the business process, cost, efficiency and customer experience. 
To better solve these problems, it is utmost important to have solutions that can do end to claims processing by optimizing the process, enhancing efficiency, reducing risk & fraud, enabling better customer experience. 
Artivatic.ai‘s flagship product ALFRED’s Health Claims is an AI Based smart claims automation, auto adjudication,  risk & fraud and decision platform that takes care end to end processing & settlement. TPA, Providers, Clinics, Corporate to Payers all can connect /integrate with quick APIs.

ALFRED’S AI/ML Based Health Claims Platform will provide:

  • Automated Claims – Cashless, Post-discharge & Hospicash 
  • OCR/ICR for medical documents/bills/pre-auth [printed/handwritten]
  • Claims Auto-Adjudication  
  • Digitization and processing 
  • Claims Leakages & Admissibility 
  • Risk scoring & Fraud Intelligence
  • Automated ICD/IRDA Coding /Billing 
  • Product Configuration, Inclusions & Exclusions 
  • Schedule of Charges configuration/Approval
  • Documents Check & QC Automation
  • Providers /TPA network connect and automation 
  • Investigation /Workflow 
  • Configure Discounts, Loyalty cards, Lab discounts /OPD Benefits 
  • Digital Claims Filing, Tracking & Progress Journey 
  • Payments, Tracking & Update
  • Workflow & Process for claims processing
  • Internal communication/meeting/discussions  
  • Dashboard & Insights 

Impact that ALFRED’S Health Claims Platform can make: 

  • Reducing processing cost and increase efficiency 
  • Data Driven Decisions 
  • Scale & Better Customer Experience 
  • Reducing TAT
  • Automation & fast claims processing 
  • Unified & efficient platform 
  • Plug-in-play and API driven platform 
  • Reducing risk & fraud 
  • Reducing manual efforts
  • Self Claims Filing via Providers/Customers 
  • and more 

ALFRED’S Health Claims Platform will transform from legacy to new-age digital claims platform that not only adopts new change, new data, new processes but always keeps learning to provide better risk, insights, information and instant decision making.
Visit Here for ALFRED’S AI HEALTH CLAIMS.
Checkout Demo: Click Here for Health Claims Platform Demo [Ask for Login ID & Password or Demo] 
Visit Demo for CX360 – Customer Portal for self claims [Ask for demo] – Click Here for Demo 
Visit  at Microsoft Azure Portal:  ALFRED’S HEALTH CLAIMS AI PlatformVisit at IBM Portal  – ALFRED’S HEALTH CLAIMS AI Platform
Please write to [email protected] if needed further demo/information. Lets build digital claims insurtech for the future. Thank you for taking out time to go through ALFRED AI CLAIMS PLATFORM.

Artivatic.ai is an Insurtech Platform. You can read more at www.artivatic.ai

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