Acclaim
End-to-End Claims Analysis Automation
Accelerating health claims processing with AI-powered analytics
How Acclaim Works?
Data Extraction
Extracts health claims data from the collected claims documents from the insurer’s claims management system using advanced OCR and human-in-loop.
Encoding
Utilises industry-standard encodings (ATC, ICD, LOINC, SNOMED) for consistent data encoding.
Categorization
ML algorithm categorizes encoded data into treatments, procedures and investigations.
Anomaly Detection
ML-powered anomaly detection roots out non-included, anomalous and excessive charges
Insight Generation
Outputs generated insights directly into the insurer system in multiple format options.
Insurer Benefits from Acclaim Solution
Rapid Claims Processing
Claims decisions in as little as a few minutes, slashing processing times from hours to minutes.
Automated Payout Evaluation
Claims eligibility quantification without manual intervention.
Seamless Data Extraction
Format-agnostic document digitization including CSV, PDF, text, or scanned images.
Quality Control
Airtight quality control on handwritten documents with human and OCR-assisted data extraction.
Predictive Analysis
Predictive modelling for policy pricing, tariff trend tracking and doctor/provider level analytics.
Bill Data Standardisation
Bill data codification using industry-standard medical classification systems like ICD, PCS, ATC and SNOMED.
Accurate Anomaly Detection
95% accurate anomalous and excess charge detection.
Seamless API Integration
Painless API-based integration with in-house systems, reducing setup time and costs.
Industry-Defining Challenges We Resolve
15% of health claims are fraudulent, or inflated with unnecessary or excessive investigations, treatments, and procedures.
Manual claims data capture is not exhaustive and current technology like OCR is not 100% accurate.
Insurers face an increasing dearth of data regarding patterns in healthcare provider treatment and claims veracity.
Variations in claims terminologies across healthcare providers and geographies slow down claims processing.
Winning Numbers
200%
Process Efficiency Improvement
75%
Manual Effort Reduction
5%
Claims Payout Reduction
Revitalise Your Insurance Decisioning with Precision and Speed
The easiest integration decision you'll ever make.
Revitalise Your Insurance Decisioning with Precision and Speed
