ALFRED - Unified AI Health Claims Automation, Risk, Fraud & Decision Platform
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]
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
Configure Discounts, Loyalty cards, Lab discounts /OPD Benefits
Digital Claims Filing, Tracking & Progress Journey
Payments, Tracking & Update
Workflow & Process for claims processing
Dashboard & Insights
Impact that ALFRED'S Health Claims Platform can make:
Reducing processing cost and increase efficiency
Data Driven Decisions
Scale & Better Customer Experience
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
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.
Checkout Demo: Click Here for Health Claims Platform Demo [Ask for Login ID & Password or Demo]