Transforming medical claim processing: achieving 73% faster results with AI

Industry:Healthcare

Category:AI Development

Transforming medical claim processing: achieving 73% faster results with AI

About the case

Based in the United States, this client specializes in medical claims management, a process critical to ensuring seamless claim resolution and improved patient care. Their operations rely on efficiently processing vital information received via faxed documents from healthcare providers and patients. This meticulous task forms the backbone of their workflow, directly impacting operational efficiency and healthcare outcomes.

The challenge: Struggling with faxed mediclaims

Relying on faxes for medical claims created bottlenecks, frequent errors, delays, impacting efficiency.

Documents were faxed, not digital PDFs.

Poor image quality due to artifacts and skew.

Manual data extraction was error-prone and tedious.

Backlog of documents delayed claim processing.

No centralized document access and tracking.

Time lost in sorting and organizing physical faxes.

The challenge: Struggling with faxed mediclaims

AI-Powered document processing simplified

Document processing and data management in healthcare were streamlined through AI-driven OCR pipelines.

Automated document straightening to correct skewed faxes.

Image quality enhancement for better readability.

OCR text extraction with bounding box creation.

Human-in-the-loop verification to ensure data accuracy.

Combined AI automation and manual oversight effectively.

The measurable impact

Reduced processing time per document by 73%.

Increased productivity by ~70% .

Improved accuracy through AI-human collaboration.

Increased customer satisfaction with faster service.

Shortened backlog clearance time from 3 days to 1 day.

We redefined the client’s document processing by implementing AI OCR software technology and human verification, delivering enhanced accuracy, productivity, and streamlined operations. hello

Project Snapshot

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