Artivatic launches ALFRED AI HEALTH CLAIMS solution to automate end-to-end reimbursement requests
BANGALORE from India, June 22, 2021 / PRNewswire / – Medicare is now a basic need rather than just protection. The important aspect of health insurance is to have a simple, smooth and digital claims process. About Us $ 61 billion outside the United States $ 91 billion in 2019 was spent as personal expenses. Health insurance must move from legacy to creating new age digital, personalized, connected and automated processes, ranking, tracking to final settlement using AI, ML and learning. There are many issues in the process of health claims, some of them are:
Problems in the health insurance ecosystem
- Are patients struggling to file claims, especially due to a lack of awareness and a challenge in terms of what is needed and what to submit for claims?
- Do patients sometimes not understand what is covered and what is not?
- For more than 60% of patients, access to health is expensive and they do not have access to health insurance protection
- The digitization of health care, access to health insurance products tailored to needs is a challenge. Mental health, health notice is always the biggest challenge.
What is Artivatic doing in the transformation of health insurance claims?
Artivatic is a comprehensive InsurTech focused on creating next generation insurance and health solutions to meet the needs of its clients and transform into a digital claims process. Artivatic has built a health insurance stack to have a 360 ecosystem in place.
Artivatic’s ALFRED-AI HEALTH CLAIMS platform builds a 360 health ecosystem using technology and data to transform the way the real-time claims process can be tuned. The important aspect of real-time claims settlement is creating a connected journey for patients, providers and payers.
Unified health and insurance platform
Unified platform for patients / providers / payers for using AI to analyze pre-existing medical history, disease prediction and recommendations for patients and providers and provide the same information to payers for better protection of health.
Document scanning and health analysis
Processing of medical documents, invoicing, discharge summary and more. Analyze pre-existing medical history, disease prediction and recommendation / scan / scan reports.
Patient counseling, well-being and risk assessment
Mental health / Reduction of health / medical / operational costs and identification of risks in real time. Lifestyle / wellness mapping with new health devices and past clinical / diagnostic data to provide health risk recommendations, preventive health care to reduce medical costs and improve life.
Seamless payment of claims. Access to health financing.
Instant unified AI platform for the assessment and payment of claims related to insurance / provider platforms. Access to health financing through low cost credit / loyalty / medical / health services on provider / patient side using risk-based analysis and decision.
ALFRED: Benefits of AI Based Health Claim Solution:
Cashless + Refund + OPD + Hospicash + Loyalty cards
- Automated scanning of medical documents [Printed, scanned, Handwritten] > 90% accurate
- TAT reduction up to 90%
- System for indexing medical records, billing and other data to provide better real-time risk assessment, up to 50% better risk assessments
- Fraud and abuse detection> 30%
- Ecosystem connected via APIs for patient, provider and payers – Easy integration
- Product configuration and rule editing engine – retail / group
- Automated medical billing / coding – IRDA / ICD10, etc.
- Digital pre-authorization and complaints handling path with digital consent process
- NDHM integration for health data request
- Real-time complaint status update, document sharing, etc. without sending by e-mail / whatsapp, etc.
- Real-time decision-making engine for patients, providers and payers through self-adjudication and claim denial solutions
- Self-learning and scalable system for better risk assessment, fraud and decision making
- Integrated workflows and payment systems
- Easy to customize as needed for use to connect to any basic complaint system or use independently
- Build a health network digitally and assign benefits to health insurance products
- Tariff / SOC digital management system for approval, update and use [Without investing time for hospital manual contracts, record and negotiation]
Artivatic is a global risk-taking and decision-making platform that automates human decisions in insurance and healthcare to deliver efficiency, transparency, risk assessment, personalization and digitization throughout the lifecycle. life of operations. The platform uses deep learning and proprietary algorithms to deliver insurance and healthcare solutions such as intelligent risk underwriting, alternative data insights, real-time personalized product offering, and automated integration, claims automation, sales and distribution, auto-agency service, client 360, information and analytics, Artivatic empowers insurance and healthcare companies and developers to reinvent the products of insurance and health for the next billion users.
Artivatic aims to deliver personalized insurance products based on client’s goals / needs in less than 60 seconds using data, technology and process.
Some flagship products of Artivatic: AUSIS – AI Smart Underwriting Platform, ALFRED – Auto, Health, Accidental Claims Automation Platform, ASPIRE CUSTOMER – AI Healthcare Platform for patient & Provider, CARSURE – Vehicle Claims Estimation, MiO sales – AI Based Distribution, Sales, Lead & Marketing automation, ASPIRE BUSINESS: SaaS platform based on AI for collective and commercial insurance, INFRD: more than 400 AI infrastructures for insurance.
Artivatic is direct with over 10+ insurance, reinsurance, TPA and distributor companies.
E-mail: [email protected]
SOURCE Artivatic Data Labs Private Limited