{"id":11157,"date":"2026-03-30T13:59:05","date_gmt":"2026-03-30T13:59:05","guid":{"rendered":"https:\/\/sprout.ai\/?post_type=resource&#038;p=11157"},"modified":"2026-04-14T13:52:10","modified_gmt":"2026-04-14T13:52:10","slug":"coverage-checking-is-working-so-why-is-it-so-time-consuming-and-costly","status":"publish","type":"resource","link":"https:\/\/sprout.ai\/ja\/resource\/coverage-checking-is-working-so-why-is-it-so-time-consuming-and-costly\/","title":{"rendered":"\u30ab\u30d0\u30ec\u30c3\u30b8\u30fb\u30c1\u30a7\u30c3\u30af\u306f 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<em><a href=\"https:\/\/sprout.ai\/ja\/%e3%83%aa%e3%82%bd%e3%83%bc%e3%82%b9\/the-state-of-policy-coverage-checking\/\" type=\"link\" id=\"https:\/\/sprout.ai\/resource\/the-state-of-policy-coverage-checking\/\">\u30dd\u30ea\u30b7\u30fc\u30ab\u30d0\u30ec\u30c3\u30b8\u30c1\u30a7\u30c3\u30af\u306e\u72b6\u6cc1\u30ec\u30dd\u30fc\u30c8<\/a><\/em>, \u30a6\u30a7\u30d3\u30ca\u30fc\u304b\u3089\u306e\u6d1e\u5bdf\u3068\u7d44\u307f\u5408\u308f\u305b\u305f <em><a href=\"https:\/\/sprout.ai\/ja\/%e3%82%a4%e3%83%99%e3%83%b3%e3%83%88\/%e4%bf%9d%e9%99%ba%e9%87%91%e8%ab%8b%e6%b1%82%e3%83%9d%e3%83%aa%e3%82%b7%e3%83%bc%e3%83%bb%e3%83%81%e3%82%a7%e3%83%83%e3%82%af2025%e3%82%a6%e3%82%a7%e3%83%93%e3%83%8a%e3%83%bc\/\" type=\"link\" id=\"https:\/\/sprout.ai\/event\/insurance-claims-policy-checking-2025-webinar\/\">\u4fdd\u967a\u91d1\u8acb\u6c42\u30dd\u30ea\u30b7\u30fc\u30c1\u30a7\u30c3\u30af 2025\uff1a\u30dc\u30c8\u30eb\u30cd\u30c3\u30af\u3001\u30d9\u30f3\u30c1\u30de\u30fc\u30af\u3001\u30d6\u30ec\u30fc\u30af\u30b9\u30eb\u30fc<\/a><\/em>, \u3001\u3088\u308a\u8907\u96d1\u306a\u73fe\u5b9f\u3092\u660e\u3089\u304b\u306b\u3059\u308b\u3002.<\/p>\n\n\n\n<p>72%\u306e\u30af\u30ec\u30fc\u30e0\u30ea\u30fc\u30c0\u30fc\u304c\u81ea\u793e\u306e\u88dc\u511f\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u300c\u304b\u306a\u308a\u300d\u300c\u975e\u5e38\u306b\u300d\u5305\u62ec\u7684\u3067\u3042\u308b\u3068\u8aac\u660e\u3057\u3066\u3044\u308b\u4e00\u65b9\u3067\u3001\u305d\u306e\u57fa\u76e4\u3068\u306a\u308b\u904b\u7528\u30e2\u30c7\u30eb\u306f\u4f9d\u7136\u3068\u3057\u3066\u624b\u4f5c\u696d\u306b\u5927\u304d\u304f\u4f9d\u5b58\u3057\u305f\u3082\u306e\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>% 50\u4ef6\u306b\u3064\u3044\u3066\u3001\u624b\u52d5\u306e\u30ab\u30d0\u30ec\u30c3\u30b8\u30c1\u30a7\u30c3\u30af\u306b\u5b8c\u5168\u306b\u4f9d\u5b58\u3057\u3066\u3044\u307e\u3059<\/li>\n\n\n\n<li>44% \u30ab\u30d0\u30ec\u30c3\u30b8\u6c7a\u5b9a\u306b\u304a\u3051\u308b\u81ea\u52d5\u5316\u30bc\u30ed\u306e\u5831\u544a<\/li>\n\n\n\n<li>31% \u306f\u3001\u30ab\u30d0\u30ec\u30c3\u30b8\u306e\u9045\u5ef6\u304c\u983b\u7e41\u306b\u3001\u307e\u305f\u306f\u975e\u5e38\u306b\u983b\u7e41\u306b\u767a\u751f\u3059\u308b\u3068\u8ff0\u3079\u3066\u3044\u307e\u3059<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u30ab\u30d0\u30ec\u30c3\u30b8\u30c1\u30a7\u30c3\u30af\u306f\u6d3e\u624b\u306b\u5931\u6557\u3057\u3066\u3044\u308b\u308f\u3051\u3067\u306f\u306a\u3044\u3002\u8cbb\u7528\u306e\u304b\u3055\u3080\u6210\u529f\u306a\u306e\u3067\u3042\u308b\u3002.<\/strong><\/h2>\n\n\n\n<p><strong>\u96a0\u3055\u308c\u305f\u5f71\u97ff\u306f\u3001\u6545\u969c\u3067\u306f\u306a\u304f\u3001\u6469\u64e6\u3067\u3059<\/strong>.<\/p>\n\n\n\n<p>\u30ab\u30d0\u30ec\u30c3\u30b8\u306e\u4f4e\u4e0b\u306f\u3001\u5373\u5ea7\u306b\u76ee\u306b\u898b\u3048\u308b\u5f71\u97ff\u3092\u53ca\u307c\u3059\u3088\u3046\u306a\u5287\u7684\u306a\u904b\u7528\u30a4\u30f3\u30b7\u30c7\u30f3\u30c8\u3068\u3057\u3066\u73fe\u308c\u308b\u3053\u3068\u306f\u3081\u3063\u305f\u306b\u3042\u308a\u307e\u305b\u3093\u3002.<\/p>\n\n\n\n<p>\u4ee3\u308f\u308a\u306b\u3001\u305d\u308c\u3089\u306f\u6301\u7d9a\u7684\u304b\u3064\u7d99\u7d9a\u7684\u306a\u904b\u7528\u306e\u6469\u64e6\u3068\u3057\u3066\u73fe\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30b5\u30a4\u30af\u30eb\u30bf\u30a4\u30e0\u306e\u77ed\u7e2e<\/li>\n\n\n\n<li>\u30cf\u30f3\u30c9\u30e9\u30fc\u306e\u6539\u4fee\u3068\u30a8\u30b9\u30ab\u30ec\u30fc\u30b7\u30e7\u30f3<\/li>\n\n\n\n<li>\u985e\u4f3c\u306e\u8acb\u6c42\u306b\u304a\u3051\u308b\u4e00\u8cab\u6027\u306e\u306a\u3044\u6c7a\u5b9a<\/li>\n\n\n\n<li>\u5ef6\u6ede\u88dc\u511f\u7cbe\u5ea6<\/li>\n\n\n\n<li>\u518d\u89e3\u91c8\u3068\u9045\u5ef6\u306b\u3088\u308b\u8acb\u6c42\u6f0f\u308c<\/li>\n<\/ul>\n\n\n\n<p>\u3053\u308c\u3089\u306e\u975e\u52b9\u7387\u6027\u306f\u65e5\u5e38\u696d\u52d9\u306b\u5438\u53ce\u3055\u308c\u3001\u30b7\u30b9\u30c6\u30e0\u306f\u6a5f\u80fd\u3057\u307e\u3059\u304c\u3001\u305d\u308c\u306f\u5897\u5927\u3059\u308b\u52b4\u529b\u3068\u4eba\u54e1\u3001\u305d\u3057\u3066\u7d4c\u9a13\u8c4a\u5bcc\u306a\u67fb\u5b9a\u4eba\u306e\u30b9\u30ad\u30eb\u3068\u5c02\u9580\u77e5\u8b58\u306b\u3088\u3063\u3066\u306e\u307f\u6210\u308a\u7acb\u3063\u3066\u3044\u307e\u3059\u3002.<\/p>\n\n\n\n<p>\u3053\u306e\u6469\u64e6\u306f\u3001First Notice of Loss (FNOL) \u3067\u6700\u3082\u9855\u8457\u306b\u898b\u3089\u308c\u307e\u3059\u3002.<\/p>\n\n\n\n<p>\u7c21\u5358\u306a\u8acb\u6c42\u306f\u8fc5\u901f\u306b\u4fdd\u967a\u9069\u7528\u3092\u78ba\u8a8d\u3067\u304d\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u8907\u96d1\u306a\u8acb\u6c42\u3084\u8907\u6570\u4fdd\u967a\u5951\u7d04\u304c\u95a2\u9023\u3059\u308b\u8acb\u6c42\u306f\u3001\u691c\u8a3c\u306b\u6570\u65e5\u3001\u6570\u9031\u9593\u3001\u3042\u308b\u3044\u306f\u6570\u30f6\u6708\u304b\u304b\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u9045\u5ef6\u306f\u3001\u5f8c\u7d9a\u306e\u81ea\u52d5\u5316\u3092\u6ede\u3089\u305b\u3001\u4fdd\u967a\u4f1a\u793e\u304c\u771f\u306e\u30bc\u30ed\u30bf\u30c3\u30c1\u307e\u305f\u306f\u30ed\u30fc\u30bf\u30c3\u30c1\u306e\u8acb\u6c42\u51e6\u7406\u3092\u5b9f\u73fe\u3059\u308b\u306e\u3092\u59a8\u3052\u307e\u3059\u3002. <\/p>\n\n\n\n<p>\u5d50\u3001\u6d2a\u6c34\u3001\u58ca\u6ec5\u7684\u306a\u640d\u5931\u306a\u3069\u306e\u4e3b\u8981\u306a\u51fa\u6765\u4e8b\u304c\u767a\u751f\u3059\u308b\u3068\u3001\u554f\u984c\u306f\u3055\u3089\u306b\u6df1\u523b\u306b\u306a\u308a\u307e\u3059\u3002.<\/p>\n\n\n\n<p>\u4e88\u6e2c\u4e0d\u80fd\u306a\u6025\u5897\u30a4\u30d9\u30f3\u30c8\u306e\u7d50\u679c\u3001\u30b7\u30b9\u30c6\u30e0\u306f\u8ffd\u52a0\u306e\u4eba\u54e1\u306a\u3057\u3067\u6570\u5343\u4ef6\u306e\u8ffd\u52a0\u8acb\u6c42\u3092\u5438\u53ce\u3057\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002\u3053\u308c\u306f\u3001\u62c5\u5f53\u8005\u306b\u904e\u5ea6\u306e\u30d7\u30ec\u30c3\u30b7\u30e3\u30fc\u3092\u304b\u3051\u3001\u610f\u601d\u6c7a\u5b9a\u306e\u901f\u5ea6\u3068\u54c1\u8cea\u3092\u5371\u967a\u306b\u3055\u3089\u3059\u3060\u3051\u3067\u306a\u304f\u3001\u9867\u5ba2\u304c\u6700\u3082\u5fc5\u8981\u3068\u3057\u3066\u3044\u308b\u6642\u306b\u6700\u9ad8\u306e\u30b1\u30a2\u3092\u63d0\u4f9b\u3059\u308b\u3053\u3068\u3092\u59a8\u3052\u307e\u3059\u3002.<\/p>\n\n\n\n<p>\u7d50\u8ad6\u306f\u660e\u767d\u3067\u3059\u3002\u624b\u4f5c\u696d\u3067\u306e\u30ab\u30d0\u30ec\u30c3\u30b8\u30c1\u30a7\u30c3\u30af\u306f\u3001\u5358\u306b\u30b9\u30b1\u30fc\u30ea\u30f3\u30b0\u3057\u307e\u305b\u3093\u3002.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u306a\u305c\u30b9\u30b1\u30fc\u30eb\u304c\u4eca\u3001\u6226\u7565\u7684\u306a\u554f\u984c\u3068\u306a\u3063\u3066\u3044\u308b\u306e\u304b<\/strong><\/h2>\n\n\n\n<p>\u305d\u306e\u9593 <em><a href=\"https:\/\/sprout.ai\/ja\/%e3%82%a4%e3%83%99%e3%83%b3%e3%83%88\/ai-in-insurance-myths-realities-the-boardroom-gap\/\" type=\"link\" id=\"https:\/\/sprout.ai\/event\/ai-in-insurance-myths-realities-the-boardroom-gap\/\">\u4fdd\u967a\u306b\u304a\u3051\u308bAI\uff1a\u795e\u8a71\u3001\u73fe\u5b9f\u3001\u305d\u3057\u3066\u30a8\u30b0\u30bc\u30af\u30c6\u30a3\u30d6\u30fb\u30b3\u30df\u30c3\u30c6\u30a3\u30fc\uff08ExCo\uff09\u3068\u306e\u30ae\u30e3\u30c3\u30d7<\/a> <\/em>\u30a6\u30a7\u30d3\u30ca\u30fc\u3067\u306e\u8b70\u8ad6\u3067\u3001Sprout.ai\u306eCEO\u3067\u3042\u308bRoi 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19%\u3001\u51e6\u7406\u6642\u9593\u3092% 23%\u6539\u5584\u3057\u307e\u3057\u305f\u3002.<\/p>\n\n\n\n<p>\u5225\u306e\u5c0e\u5165\u4e8b\u4f8b\u3067\u306f\u3001AI\u306b\u3088\u308b\u30ab\u30d0\u30ec\u30c3\u30b8\u5206\u6790\u306b\u3088\u308a\u3001%\u610f\u601d\u6c7a\u5b9a\u6642\u9593\u304c45%\u77ed\u7e2e\u3055\u308c\u3001\u4e00\u8cab\u6027\u3068\u7cbe\u5ea6\u3082\u5411\u4e0a\u3057\u307e\u3057\u305f\u3002.<\/p>\n\n\n\n<h2 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Coverage breakdowns rarely appear as dramatic [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/sprout.ai\/ja\/\u30ea\u30bd\u30fc\u30b9\/coverage-checking-is-working-so-why-is-it-so-time-consuming-and-costly\/\" \/>\n<meta property=\"og:site_name\" content=\"Sprout.ai\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-14T13:52:10+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/sprout.ai\/wp-content\/uploads\/2025\/07\/product-screens.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"912\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4\u5206\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/sprout.ai\\\/resource\\\/coverage-checking-is-working-so-why-is-it-so-time-consuming-and-costly\\\/\",\"url\":\"https:\\\/\\\/sprout.ai\\\/resource\\\/coverage-checking-is-working-so-why-is-it-so-time-consuming-and-costly\\\/\",\"name\":\"Coverage checking is \u201cworking\u201d \u2014 so why is it so time-consuming and costly? | Sprout.ai\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/sprout.ai\\\/#website\"},\"datePublished\":\"2026-03-30T13:59:05+00:00\",\"dateModified\":\"2026-04-14T13:52:10+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/sprout.ai\\\/resource\\\/coverage-checking-is-working-so-why-is-it-so-time-consuming-and-costly\\\/#breadcrumb\"},\"inLanguage\":\"ja\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/sprout.ai\\\/resource\\\/coverage-checking-is-working-so-why-is-it-so-time-consuming-and-costly\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/sprout.ai\\\/resource\\\/coverage-checking-is-working-so-why-is-it-so-time-consuming-and-costly\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/sprout.ai\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Coverage checking is \u201cworking\u201d \u2014 so why is it so time-consuming and costly?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/sprout.ai\\\/#website\",\"url\":\"https:\\\/\\\/sprout.ai\\\/\",\"name\":\"Sprout.ai\",\"description\":\"Changing insurance for good\",\"publisher\":{\"@id\":\"https:\\\/\\\/sprout.ai\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/sprout.ai\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"ja\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/sprout.ai\\\/#organization\",\"name\":\"Sprout.ai\",\"url\":\"https:\\\/\\\/sprout.ai\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"ja\",\"@id\":\"https:\\\/\\\/sprout.ai\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/sprout.ai\\\/wp-content\\\/uploads\\\/2025\\\/10\\\/Primary-Logo-Colour-RGB.png\",\"contentUrl\":\"https:\\\/\\\/sprout.ai\\\/wp-content\\\/uploads\\\/2025\\\/10\\\/Primary-Logo-Colour-RGB.png\",\"width\":2152,\"height\":501,\"caption\":\"Sprout.ai\"},\"image\":{\"@id\":\"https:\\\/\\\/sprout.ai\\\/#\\\/schema\\\/logo\\\/image\\\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Coverage checking is \u201cworking\u201d \u2014 so why is it so time-consuming and costly? | Sprout.ai","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/sprout.ai\/ja\/\u30ea\u30bd\u30fc\u30b9\/coverage-checking-is-working-so-why-is-it-so-time-consuming-and-costly\/","og_locale":"ja_JP","og_type":"article","og_title":"Coverage checking is \u201cworking\u201d \u2014 so why is it so time-consuming and costly? | Sprout.ai","og_description":"In most claims operations, policy coverage checking is not considered broken, so is not generally considered a priority for transformation. 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