Cognitive Automation in Healthcare Claims Processing

Insight categories: AI and MLBig Data & AnalyticsDigital TransformationInsightsHealthcare

Cognitive automation is transforming healthcare claims processing by combining robotic process automation (RPA), artificial intelligence (AI), and intelligent document processing (IDP). This specific use of technologies is enabling faster turnaround times with straight-through processing, improved accuracy with minimal manual intervention, and increased digital and non-digital workforce productivity for insurers.

In this paper, you’ll learn:

  • How rising healthcare costs and manual processes across the claims lifecycle are wreaking havoc on organizations’ administrative costs.
  • Which challenges in the current claims system are standing between healthcare organizations and efficient, secure, cost-effective adjudication and processing.
  • Why RPA and AI together aren’t enough to digitize documents in healthcare claims processing, where files often contain signatures, handwriting, and images.
  • What intelligent document processing brings to the table that optical character recognition (OCR) lacks.
  • A proposed IDP system flow for processing unstructured or semi-structured documents with greater accuracy.

Authors

Author

Neha Kukreja

Consultant

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Author

Vinaya Sharma

Senior Consultant, Business Solutions

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