Fast track health claim settlements using Marvel.ai

What our customer encountered?

Delayed medical claims settlement process due to the following challenges:

Manual validation of diverse insurance data

Scanned or native PDFs, images, emails of discharge summaries, and medical bills, comprising pages of data.
Approximately 98% of the data was unstructured.
Historical customer data scattered across documents and folders, making retrieval difficult.
Lack of granular data for analysis when needed.

Codification and verification

Manual codification and verification for each line item of the discharge summary.
Cross-referencing multiple applications added complexity to the process.

The challenges resulted in:

Data errors and fraudulent claims
Prolonged settlement timelines
Increased costs and human resources
Inefficiencies in the insurer’s operations

What our customer needed?

Automated data extraction of diverse insurance data from varied sources for a faster settlement process.

The Solution

Introduced Marvel.ai – An AI-based intelligent document processor into the system to automatically extract, validate, and categorize the submitted document data from discharge summaries and medical bills in just seconds.

Marvel.ai facilitated faster & automated claims processing, while providing data-driven insights that helped in fraud detection, process optimization, forecasting, and decision-making.