Transforming Health Claims Ecosystem | India Insurtech Summit 2025
Автор: The Digital Fifth
Загружено: 2025-07-22
Просмотров: 41
Описание:
In this powerful product walkthrough, Perfios Health and IHX showcase how they are fundamentally reimagining the broken health claims ecosystem in India. Despite advances in digital health and insurance, health claims remain slow, opaque, and costly — driven by manual adjudication, fragmented data, and trust gaps.
Through this demo, discover how Perfios + IHX deliver an end-to-end, AI-powered health claims platform that drastically improves turnaround time, fraud detection, and decision transparency — while reducing human effort by over 75%.
🚑 What you’ll see in the demo:
🔹 Real-time, AI-powered adjudication for cashless & reimbursement claims
🔹 30,000+ provider integrations via IHX for digitized claim capture at source
🔹 Document intelligence: AI identifies missing records like USG in C-section
🔹 FWA engine flags fraud, waste & abuse — from overtreatment to billing mismatches
🔹 Unified insurer dashboard with billing, KYC, gender/diagnosis, and LoS validations
🔹 98%+ accuracy with human explainability, traceability, and compliance built-in
🔹 Integration-ready platform with proven scale: millions of claims processed live
🔹 Self-learning systems with ROI - 100% and 90% faster TATs for customers
💡 Why Watch:
If you're a payer, TPA, healthtech, or digital insurance product leader, this is a live example of AI + data infrastructure solving real-world claims pain points — without compromising auditability or control.
📌 This platform is live in India and abroad, trusted by leading payers to power the next generation of intelligent claims journeys.
#HealthClaims #InsurTech #DigitalInsurance #Perfios #IHX #ClaimsAutomation #AIinInsurance #FraudDetection #HealthInsuranceIndia #MedicalClaims #DigitalHealthClaims #SmartClaimsPlatform #ClaimsAdjudication #FWAIntelligence #CustomerExperience #InsuranceTransformation
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