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Claims management for a large health insurer in Mexico
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OCR & data acquisition
Robust & proprietary AI-driven data acquisition technology that ensures the cleanliness, accuracy, and completeness of health & life claims data.
99%
OCR accuracy rate for printed, 90% for handwritten.
85%
Efficiency gains vs manual input.
Features
With great data comes great potential
Qantev's proprietary data acqusition, cleaning, refinement and enrichement tool is the foundation to running a successful and profitable health & life insurance business.
Data extraction & OCR
Specialized OCR dedicated to insurance supporting documents, printed and handwritten, latin and non-latin characters.
Document classification
Supporting document identification and classification, template and language agnostic.
Member & provider identification
Member identification & membership check, coupled with accurate recognition of healthcare providers.
Required document check
Automated missing document check customized to specific process.
Medical coding inference
Automated medical coding inference, code agnostic (ICD 9, ICD 10, CPT, etc).
Data enrichment
Provider enrichment, readmission flagging, episode grouping, cost normalization, geocoding, referral patterns mapping.
Data cleaning
Cleaning rules, discrepencies correction, fixing of structural errors and unwanted outliers, missing data.
Data governance
Data lineage, usage logging, operations history.
How it works
Empower key stakeholders with specialized AI
Smarter OCR
AI to improve accuracy of OCR, trained to understand the context of insurance and related medical documents.
Smarter data
AI to improve data quality, enriching it with internal and external network data localized to each markets.
Smarter business strategy
AI analyzing vast amounts of internal and external data to detect patterns and give key actionable insights for a better strategy definition.
Smarter digital transformation
AI to help digitize your historical and current data in the most efficient way to set the right foundation for future transformation.
Get 3-6x ROI within 12 months
Highest accuracy
Market leader in claims data acqisition accuracy.
Template agnostic
Built to understand any types of claims documents.
Specialized for health
Built with deep understanding of health insurance.
All languages
Supports any latin and non-latin language, including handwritten.
AI & insights
Intelligence layer and insights for maximum efficiency.
Easy integrations
Modular and API-driven architecture to fit within your complex ecosystem.