Claim Process Automation

To identify, classify and extract the member and health care information of claim owners

25 Reviews

Overview

Claim process owners can leverage this solution to bring efficiency and scalability in their document centric processes. This is an AI packed solution, that loads the claim forms together with all other document types, and then identify, classify and extract the member and health care information of the insurance holder from the respective claim form. Claim process owners can see the incoming document getting auto-classified and the needed information getting extracted in a structured summary. Reviewed AI output can be integrated with your downstream systems.

Claim Process Automation

Claim Process Automation
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Taxonomy

Member ID

Z000107

Claim No:

Botminds AI

Billed Amount

6840

Member Last Name

Allen

Member First Name

Alexander

MI

56789

Street Address

Paige

State

Florida

Zip

7003

Patient Last Name

Allen

Patient First Name

Alexander

Tax Identification Number

GSUEGE129

Phone

(700) 8234220087

Email

sam@acme.com

Physician Last Name

Allen

Physician Last Name

Alexander

Street Address

Paige

State

Florida

Zip

7003

Contact Person

Elise

Option Amount

8691

Comment

Sample Data for Extraction

Result

60%
Less TAT

With claim process owner's effort spent only on AI review the TAT has reduced

40%
More efficiency

Botminds doing the heavy lifting of most of the time consuming manual processes, considerable efficiency improvement was acheived

95%
Accurate results

With Human-in-the-loop ideal accuracy was reached

3x
Cost savings

Major spending is restricted to AI review

Challenges

Sourcing the claim forms from varied sources

Manually classifying the documents and processing it further

Owing to sensitive data, any form of outsourcing or automation was questionable

Difficult to deliver quality results during volume spikes

Benefits

One-stop AI solution for all your data extraction

Configure all your sources and the rest of the heavy lifting handled by the solution

Live classification of documents and extraction of appropriate data

SME effort restricted to AI output review

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