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Decode health insurance
black box
Improve medical treatment access for insured employees and achieve better health outcomes.
Read, listen and talk
An AI to answer your medical inquires, and predict reasons for potential prior authorization denials.
Current insurance claim process
1. Patient encounter note
2. Test ordered
3. Care delivered
4. File reimbursement, need prior authorization, and payment rejected
Use AI to mitigate rejected payments
1. AI analyze encounter note, detect prior authorization required, automate paperwork
2. Test ordered
3. Care delivered
4. File reimbursement and get paid
2 Million prior authorization rejections in 2021
23 Million enrollees
-- Medicare Advantage Plans
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