The most intelligent claims automation engine for health insurers
Built for health insurers, with health insurers
How Sprout.ai works
Extraction
Enrichment
Policy checking
Prediction
Extraction
Our OCR and NLP technology extracts all relevant information from any type of claim documentation, from handwritten doctor’s notes to call transcripts and prescriptions.
Enrichment
External data points, such as treatment codes, provider network policies or medication information, validate the claim and check for fraud.
Policy checking
All relevant information is checked against the customer’s policy documents for exceptions such as excluded medications.
Prediction
Deep learning AI algorithms determine the best next step and generate a clear justification for the customer, pharmacy or health care provider.
ROI within six months
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Intelligence claims triage
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Immediately determines whether claims are covered
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Substantially reduced claims turnaround and operational costs.
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97% accuracy
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30% better than traditional AI.
Used by world-leading health insurers
Contact Sprout.ai
An expert will reach out to discuss how we can transform your claim process, improve your customer experience, and reduce operational costs.