With Covid-19 driving 55% increase in average policyholder contact time, health insurers are at risk of missing fraudulent claims
Insurtech firm Sprout.ai has launched a claim settlement solution for health insurers globally using its Contextual AI technology. The service puts in safety measures that check health insurance claims, up to 20% of which are for low value treatments. With some insurers choosing to automate the authorisation of claims with low value, they are in danger of missing claims that may be fraudulent, said Sprout.ai. Current processes rely on complex classification systems, such as ICD10, Snomed and...
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