{"id":11158,"date":"2026-04-07T11:00:00","date_gmt":"2026-04-07T11:00:00","guid":{"rendered":"https:\/\/sprout.ai\/?post_type=resource&#038;p=11158"},"modified":"2026-03-26T09:50:06","modified_gmt":"2026-03-26T09:50:06","slug":"ai-in-coverage-checking-should-insurers-build-or-buy","status":"publish","type":"resource","link":"https:\/\/sprout.ai\/ja\/resource\/ai-in-coverage-checking-should-insurers-build-or-buy\/","title":{"rendered":"\u30ab\u30d0\u30ec\u30c3\u30b8\u30fb\u30c1\u30a7\u30c3\u30af\u306b\u304a\u3051\u308bAI - 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<em>\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<\/em> \u2014 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class=\"wp-block-heading\"><strong>\u793e\u5185\u69cb\u7bc9\u306e\u9b45\u529b<\/strong><\/h2>\n\n\n\n<p>\u793e\u5185\u3067\u306e\u69cb\u7bc9\u306f\u3001\u4e00\u898b\u3059\u308b\u3068\u9b45\u529b\u7684\u306b\u898b\u3048\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002.<\/p>\n\n\n\n<p>\u63d0\u4f9b\u3057\u3066\u3044\u307e\u3059<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30e2\u30c7\u30eb\u3068\u30c7\u30fc\u30bf\u306e\u7ba1\u7406<\/li>\n\n\n\n<li>\u793e\u5185\u30ef\u30fc\u30af\u30d5\u30ed\u30fc\u3078\u306e\u9069\u5408<\/li>\n\n\n\n<li>\u77e5\u7684\u8ca1\u7523\u6a29\u306e\u6240\u6709<\/li>\n<\/ul>\n\n\n\n<p>AI\u80fd\u529b\u304c\u9ad8\u304f\u3001\u4fdd\u967a\u306b\u95a2\u3059\u308b\u6df1\u3044\u5c02\u9580\u77e5\u8b58\u3092\u6301\u3064\u4fdd\u967a\u4f1a\u793e\u306b\u3068\u3063\u3066\u3001\u81ea\u793e\u958b\u767a\u306f\u5f53\u7136\u306e\u9078\u629e\u80a2\u306e\u3088\u3046\u306b\u601d\u3048\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002.<\/p>\n\n\n\n<p>\u3057\u304b\u3057\u3001\u30ab\u30d0\u30ec\u30c3\u30b8\u306e\u6c7a\u5b9a\u306f\u5178\u578b\u7684\u306aAI\u306e\u30e6\u30fc\u30b9\u30b1\u30fc\u30b9\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002.<\/p>\n\n\n\n<p>\u8907\u96d1\u306a\u30dd\u30ea\u30b7\u30fc\u30b9\u30bf\u30fc\u30c8\u30a2\u30c3\u30d7\u8a00\u8a9e\u306e\u89e3\u91c8\u3001\u5f15\u53d7\u3068\u514d\u8cac\u4e8b\u9805\u306e\u51e6\u7406\u3001\u30ec\u30a4\u30e4\u30fc\u30c9\u30dd\u30ea\u30b7\u30fc\u30b9\u30bf\u30fc\u30c8\u30a2\u30c3\u30d7\u306e\u5206\u6790\u3001\u304a\u3088\u3073\u6761\u9805\u30ec\u30d9\u30eb\u3067\u306e\u8aac\u660e\u53ef\u80fd\u3067\u76e3\u67fb\u53ef\u80fd\u306a\u63a8\u8ad6\u306e\u63d0\u4f9b\u304c\u53ef\u80fd\u306a\u30b7\u30b9\u30c6\u30e0\u304c\u5fc5\u8981\u3067\u3059\u3002.<\/p>\n\n\n\n<p>\u30dd\u30ea\u30b7\u30fc\u304c\u9032\u5316\u3059\u308b\u306b\u3064\u308c\u3066\u3001\u3053\u308c\u3089\u306e\u30b7\u30b9\u30c6\u30e0\u3082\u9032\u5316\u3057\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002.<\/p>\n\n\n\n<p>\u5f53\u521d\u306f\u7ba1\u7406\u53ef\u80fd\u306a\u30d7\u30ed\u30b8\u30a7\u30af\u30c8\u3067\u3042\u3063\u3066\u3082\u3001\u3059\u3050\u306b\u9577\u671f\u7684\u306a\u30a8\u30f3\u30b8\u30cb\u30a2\u30ea\u30f3\u30b0\u306e\u53d6\u308a\u7d44\u307f\u3078\u3068\u767a\u5c55\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u5efa\u7bc9\u306e\u96a0\u3055\u308c\u305f\u8907\u96d1\u3055<\/strong><\/h2>\n\n\n\n<p>\u591a\u304f\u306e\u793e\u5185AI\u30a4\u30cb\u30b7\u30a2\u30c1\u30d6\u3067\u306f\u3001\u672c\u756a\u74b0\u5883\u3067AI\u3092\u30b9\u30b1\u30fc\u30eb\u3055\u305b\u308b\u969b\u306e\u904b\u7528\u4e0a\u306e\u73fe\u5b9f\u3092\u904e\u5c0f\u8a55\u4fa1\u3057\u3066\u3044\u308b\u3002.<\/p>\n\n\n\n<p>\u4e00\u822c\u7684\u306a\u8ab2\u984c\u306f\u4ee5\u4e0b\u306e\u901a\u308a\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u4fdd\u967a\u5206\u91ce\u306eAI\u4eba\u6750\u4e0d\u8db3<\/li>\n\n\n\n<li>\u30d7\u30ed\u30c0\u30af\u30b7\u30e7\u30f3\u30d0\u30ea\u30e5\u30fc\u304c\u73fe\u308c\u308b\u307e\u3067\u306e\u9577\u3044\u958b\u767a\u30b5\u30a4\u30af\u30eb<\/li>\n\n\n\n<li>\u30a4\u30f3\u30d5\u30e9\u30b9\u30c8\u30e9\u30af\u30c1\u30e3\u3001\u30e2\u30c7\u30eb\u7ba1\u7406\u306b\u95a2\u3059\u308b\u91cd\u8981\u306a\u8981\u4ef6<\/li>\n\n\n\n<li>\u30dd\u30ea\u30b7\u30fc\u306e\u6587\u8a00\u3068\u898f\u5236\u304c\u9032\u5316\u3059\u308b\u306b\u3064\u308c\u3066\u3001\u7d99\u7d9a\u7684\u306a\u30e1\u30f3\u30c6\u30ca\u30f3\u30b9<\/li>\n\n\n\n<li>\u8aac\u660e\u8cac\u4efb\u3068\u76e3\u67fb\u53ef\u80fd\u6027\u306b\u95a2\u3059\u308b\u30ac\u30d0\u30ca\u30f3\u30b9\u306e\u8981\u4ef6<\/li>\n<\/ul>\n\n\n\n<p>\u30a4\u30a2\u30f3\u30fb\u30c8\u30f3\u30d7\u30bd\u30f3\u304c\u30a6\u30a7\u30d3\u30ca\u30fc\u3067\u8aac\u660e\u3057\u305f\u3088\u3046\u306b <em>\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<\/em>:<\/p>\n\n\n\n<p>\u201c\u300c\u81ea\u793e\u958b\u767a\u304b\u8cfc\u5165\u304b\u300d\u306f\u3001\u5358\u306a\u308b\u6280\u8853\u7684\u306a\u6c7a\u65ad\u306b\u3068\u3069\u307e\u308a\u307e\u305b\u3093\u3002\u305d\u308c\u306f\u3001\u898f\u6a21\u3001\u8cc7\u672c\u3001\u30b9\u30d4\u30fc\u30c9\u3001\u305d\u3057\u3066\u80fd\u529b\u306e\u554f\u984c\u3067\u3042\u308a\u3001\u793e\u5185\u3067\u5909\u9769\u3092\u5b9f\u73fe\u3059\u308b\u305f\u3081\u306e\u5c02\u9580\u77e5\u8b58\u304c\u3042\u308b\u304b\u3069\u3046\u304b\u306b\u304b\u304b\u3063\u3066\u3044\u307e\u3059\u3002\u201d<\/p>\n\n\n\n<p>\u3053\u308c\u3089\u306e\u8ab2\u984c\u306f\u3001\u6982\u5ff5\u5b9f\u8a3c\uff08PoC\uff09\u30d5\u30a7\u30fc\u30ba\u306e\u5f8c\u3001\u4fdd\u967a\u4f1a\u793e\u304c\u5b9f\u969b\u306e\u8acb\u6c42\u30dd\u30fc\u30c8\u30d5\u30a9\u30ea\u30aa\u5168\u4f53\u3067AI\u3092\u904b\u7528\u3057\u3088\u3046\u3068\u3059\u308b\u969b\u306b\u3001\u3057\u3070\u3057\u3070\u751f\u3058\u307e\u3059\u3002.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u30d3\u30eb\u30c9\u5bfe\u30d0\u30a4\u306e\u6226\u7565\u7684\u30c9\u30e9\u30a4\u30d0\u30fc<\/strong><\/h2>\n\n\n\n<p>\u5b9f\u969b\u306b\u306f\u3001\u4fdd\u967a\u4f1a\u793e\u304c\u6280\u8853\u3060\u3051\u3067\u5224\u65ad\u3059\u308b\u3053\u3068\u306f\u3081\u3063\u305f\u306b\u3042\u308a\u307e\u305b\u3093\u3002.<\/p>\n\n\n\n<p>\u3044\u304f\u3064\u304b\u306e\u6226\u7565\u7684\u306a\u554f\u3044\u304c\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u5f62\u6210\u3059\u308b\u3002<\/p>\n\n\n\n<p><strong>\u30b9\u30b1\u30fc\u30eb<\/strong><br>\u83ab\u5927\u306a\u4fdd\u967a\u91d1\u8acb\u6c42\u4ef6\u6570\u3092\u6301\u3064\u6700\u5927\u624b\u306e\u4fdd\u967a\u4f1a\u793e\u3067\u3042\u308c\u3070\u3001\u793e\u5185\u958b\u767a\u304c\u6b63\u5f53\u5316\u3055\u308c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u5927\u591a\u6570\u306e\u4fdd\u967a\u4f1a\u793e\u306f\u3001\u63d0\u643a\u3092\u901a\u3058\u3066\u3088\u308a\u8fc5\u901f\u306a\u6210\u679c\u3092\u9054\u6210\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002.<\/p>\n\n\n\n<p><strong>\u30b9\u30d4\u30fc\u30c9<\/strong><br>AI\u306e\u80fd\u529b\u306f\u3001\u793e\u5185\u3067\u958b\u767a\u3059\u308b\u306b\u306f\u6570\u5e74\u304b\u304b\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u4fdd\u967a\u5206\u91ce\u306e\u5c02\u9580\u30bd\u30ea\u30e5\u30fc\u30b7\u30e7\u30f3\u306f\u6570\u30f6\u6708\u4ee5\u5185\u306b\u5c55\u958b\u3055\u308c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002.<\/p>\n\n\n\n<p><strong>\u80fd\u529b<\/strong><br>\u73fe\u5728\u3001\u4fdd\u967a\u4f1a\u793e\u3067\u5927\u898f\u6a21\u306aAI\u30c1\u30fc\u30e0\u3068\u3001\u4fdd\u967a\u91d1\u8acb\u6c42\u306b\u95a2\u3059\u308b\u6df1\u3044\u5c02\u9580\u77e5\u8b58\u3092\u517c\u306d\u5099\u3048\u305f\u7d44\u7e54\u306f\u307b\u3068\u3093\u3069\u3042\u308a\u307e\u305b\u3093\u3002.<\/p>\n\n\n\n<p><strong>\u6226\u7565\u7684\u5dee\u5225\u5316<\/strong><br>\u4e00\u90e8\u306e\u4fdd\u967a\u4f1a\u793e\u306f\u3001AI\u306e\u80fd\u529b\u3092\u4e2d\u6838\u7684\u306a\u77e5\u7684\u8ca1\u7523\u3068\u898b\u306a\u3057\u3066\u3044\u307e\u3059\u3002\u4ed6\u306e\u4fdd\u967a\u4f1a\u793e\u306f\u3001\u5916\u90e8\u304b\u3089\u8abf\u9054\u3059\u308b\u306e\u304c\u6700\u5584\u306e\u3001\u9032\u5316\u3057\u7d9a\u3051\u308b\u904b\u7528\u30a4\u30f3\u30d5\u30e9\u3068\u898b\u306a\u3057\u3066\u3044\u307e\u3059\u3002.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u5927\u624b\u4fdd\u967a\u4f1a\u793e\u304c\u8cfc\u5165\u3059\u308b\u7406\u7531<\/strong><\/h2>\n\n\n\n<p>\u4fdd\u967a\u4f1a\u793e\u306f\u3001\u307e\u3059\u307e\u3059\u73fe\u5b9f\u7684\u306a\u30cf\u30a4\u30d6\u30ea\u30c3\u30c9\u30e2\u30c7\u30eb\u3092\u63a1\u7528\u3057\u3066\u3044\u307e\u3059\u3002.<\/p>\n\n\n\n<p>\u5f7c\u3089\u306f\u3001\u958b\u767a\u3068\u6700\u9069\u5316\u3092\u52a0\u901f\u3059\u308b\u305f\u3081\u306b\u3001\u5c02\u9580\u306eAI\u30d7\u30ed\u30d0\u30a4\u30c0\u30fc\u3092\u6d3b\u7528\u3057\u306a\u304c\u3089\u3001\u30ac\u30d0\u30ca\u30f3\u30b9\u3001\u76e3\u7763\u3001\u610f\u601d\u6c7a\u5b9a\u6a29\u9650\u3092\u793e\u5185\u306b\u7559\u4fdd\u3057\u3066\u3044\u307e\u3059\u3002.<\/p>\n\n\n\n<p>\u3053\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u306f\u4ee5\u4e0b\u306e\u3082\u306e\u3092\u63d0\u4f9b\u3057\u307e\u3059\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u3088\u308a\u8fc5\u901f\u306a\u5c55\u958b\u671f\u9593<\/li>\n\n\n\n<li>\u8a3c\u660e\u3055\u308c\u305f\u4fdd\u967a\u30c9\u30e1\u30a4\u30f3\u30e2\u30c7\u30eb<\/li>\n\n\n\n<li>\u57cb\u3081\u8fbc\u307f\u578b\u8aac\u660e\u53ef\u80fd\u6027\u3068\u30ac\u30d0\u30ca\u30f3\u30b9\u30d5\u30ec\u30fc\u30e0\u30ef\u30fc\u30af<\/li>\n\n\n\n<li>\u5e0c\u5c11\u306aAI\u4eba\u6750\u3078\u306e\u793e\u5185\u8ca0\u62c5\u8efd\u6e1b<\/li>\n\n\n\n<li>\u3088\u308a\u901f\u3044\u904b\u7528\u30a4\u30f3\u30d1\u30af\u30c8<\/li>\n<\/ul>\n\n\n\n<p>\u91cd\u8981\u306a\u306e\u306f\u3001\u300c\u8cb7\u3046\u300d\u3068\u3044\u3046\u3053\u3068\u306f\u300c\u652f\u914d\u6a29\u3092\u5931\u3046\u300d\u3068\u3044\u3046\u3053\u3068\u3067\u306f\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002.<\/p>\n\n\n\n<p>\u30a2\u30fc\u30ad\u30c6\u30af\u30c1\u30e3\u3001\u30ac\u30d0\u30ca\u30f3\u30b9\u3001\u304a\u3088\u3073\u76e3\u7763\u3092\u901a\u3058\u3066\u7ba1\u7406\u304c\u5b9f\u884c\u3055\u308c\u3001\u3059\u3079\u3066\u306e\u30b3\u30fc\u30c9\u884c\u3092\u8a18\u8ff0\u3059\u308b\u3053\u3068\u306b\u3088\u308b\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>AI\u306e\u4fdd\u967a\u91d1\u8acb\u6c42\u306b\u304a\u3051\u308b\u771f\u306e\u4fa1\u5024<\/strong><\/h2>\n\n\n\n<p>\u30d3\u30eb\u30c9\u5bfe\u30d0\u30a4\u306e\u8b70\u8ad6\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u3082\u3046\u4e00\u3064\u306e\u8aa4\u89e3\u306f\u3001AI\u306e\u4e3b\u306a\u4fa1\u5024\u306f\u4eba\u54e1\u524a\u6e1b\u306b\u3042\u308b\u3068\u3044\u3046\u4eee\u5b9a\u3067\u3059\u3002.<\/p>\n\n\n\n<p>\u3057\u304b\u3057\u3001\u30af\u30ec\u30fc\u30e0\u30fb\u30ea\u30fc\u30c0\u30fc\u305f\u3061\u306f\u3001\u3053\u306e\u6a5f\u4f1a\u3092\u7570\u306a\u308b\u898b\u65b9\u3067\u6349\u3048\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u304d\u3066\u3044\u308b\u3002.<\/p>\n\n\n\n<p>\u30a4\u30a2\u30f3\u30fb\u30c8\u30f3\u30d7\u30bd\u30f3\u304c\u6307\u6458\u3057\u305f\u3088\u3046\u306b\uff1a<\/p>\n\n\n\n<p>\u201c\u300c\u52b9\u7387\u5316\u306f\u65b9\u7a0b\u5f0f\u306e\u4e00\u90e8\u306b\u3059\u304e\u307e\u305b\u3093\u3002\u3088\u308a\u5927\u304d\u306a\u6a5f\u4f1a\u306f\u3001\u9867\u5ba2\u306e\u6210\u679c\u3092\u6539\u5584\u3057\u3001\u4fdd\u967a\u91d1\u652f\u6255\u3044\u306e\u30b3\u30b9\u30c8\u3092\u6700\u9069\u5316\u3059\u308b\u3053\u3068\u306b\u3042\u308a\u307e\u3059\u3002\u300d\u201d<\/p>\n\n\n\n<p>\u3088\u308a\u826f\u3044\u5f15\u53d7\u67fb\u5b9a\u306f\u3001\u4ee5\u4e0b\u306b\u3064\u306a\u304c\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u3088\u308a\u4e00\u8cab\u3057\u305f\u88dc\u511f\u7d50\u679c<\/li>\n\n\n\n<li>\u6f0f\u308c\u306e\u6e1b\u5c11<\/li>\n\n\n\n<li>\u3088\u308a\u8fc5\u901f\u306a\u6c7a\u6e08<\/li>\n\n\n\n<li>\u9867\u5ba2\u4f53\u9a13\u306e\u5411\u4e0a<\/li>\n<\/ul>\n\n\n\n<p>\u3053\u308c\u3089\u306e\u6539\u5584\u306f\u640d\u5bb3\u7387\u3084\u8907\u5408\u55b6\u696d\u53ce\u652f\u7387\uff08COR\uff09\u306b\u76f4\u63a5\u5f71\u97ff\u3057\u3001\u591a\u304f\u306e\u5834\u5408\u3001\u7d4c\u8cbb\u524a\u6e1b\u3060\u3051\u3088\u308a\u3082\u5927\u304d\u306a\u8ca1\u52d9\u7684\u52b9\u679c\u3092\u3082\u305f\u3089\u3059\u3002.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u6b62\u307e\u3063\u305f\u307e\u307e\u3067\u3044\u308b\u3053\u3068\u306e\u3001\u3088\u308a\u5927\u304d\u306a\u30ea\u30b9\u30af<\/strong><\/h2>\n\n\n\n<p>\u5e02\u5834\u306f\u30012\u3064\u306e\u660e\u78ba\u306a\u30b0\u30eb\u30fc\u30d7\u306b\u5206\u304b\u308c\u59cb\u3081\u3066\u3044\u307e\u3059\u3002.<\/p>\n\n\n\n<p>1\u3064\u306e\u30b0\u30eb\u30fc\u30d7\u306f\u3001\u30ab\u30d0\u30ec\u30c3\u30b8\u306e\u78ba\u8a8d\u306e\u3088\u3046\u306a\u4e2d\u6838\u7684\u306a\u8acb\u6c42\u6c7a\u5b9a\u306b\u304a\u3044\u3066\u3001\u7a4d\u6975\u7684\u306bAI\u3092\u5c0e\u5165\u3057\u3066\u3044\u307e\u3059\u3002.<\/p>\n\n\n\n<p>\u3082\u3046\u4e00\u65b9\u306f\u30d1\u30a4\u30ed\u30c3\u30c8\u30e2\u30fc\u30c9\u306e\u307e\u307e\u3001AI\u306e\u5b9f\u9a13\u306f\u3057\u3066\u3044\u308b\u3082\u306e\u306e\u3001\u5b9f\u7528\u5316\u3078\u306e\u30b9\u30b1\u30fc\u30eb\u30a2\u30c3\u30d7\u306b\u82e6\u6226\u3057\u3066\u3044\u307e\u3059\u3002.<\/p>\n\n\n\n<p>\u305d\u306e\u74b0\u5883\u3067\u306f\u3001\u3088\u308a\u5927\u304d\u306a\u6226\u7565\u7684\u30ea\u30b9\u30af\u306f\u30d9\u30f3\u30c0\u30fc\u4f9d\u5b58\u3067\u306f\u306a\u3044\u304b\u3082\u3057\u308c\u306a\u3044\u3002\u5358\u306b\u52d5\u304d\u304c\u9045\u3059\u304e\u308b\u3053\u3068\u304b\u3082\u3057\u308c\u306a\u3044\u3002.<\/p>\n\n\n\n<p>\u4fdd\u967a\u4f1a\u793e\u306b\u3068\u3063\u3066\u306e\u554f\u3044\u306f\u3001\u3082\u306f\u3084\u300c\u81ea\u793e\u958b\u767a\u3059\u308b\u304b\u8cfc\u5165\u3059\u308b\u304b\u300d\u3060\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u5897\u5927\u3059\u308b\u4fdd\u967a\u5951\u7d04\u306e\u8907\u96d1\u3055\u306b\u5bfe\u5fdc\u3059\u308b\u305f\u3081\u306b\u3001\u7d44\u7e54\u306f\u30ab\u30d0\u30ec\u30c3\u30b8\u30a4\u30f3\u30c6\u30ea\u30b8\u30a7\u30f3\u30b9\u3092\u5341\u5206\u306b\u8fc5\u901f\u306b\u5de5\u696d\u5316\u3067\u304d\u308b\u304b\u3001\u3068\u3044\u3046\u70b9\u3067\u3059\u3002.<\/p>\n\n\n\n<p>\u4e3b\u8981\u306a\u4fdd\u967a\u4f1a\u793e\u304c\u30ab\u30d0\u30ec\u30c3\u30b8\u81ea\u52d5\u5316\u306b\u3069\u306e\u3088\u3046\u306b\u53d6\u308a\u7d44\u3093\u3067\u3044\u308b\u304b\u3092\u7406\u89e3\u3059\u308b\u305f\u3081\u306b<strong> <\/strong><a href=\"https:\/\/sprout.ai\/ja\/%e3%83%aa%e3%82%bd%e3%83%bc%e3%82%b9\/the-state-of-policy-coverage-checking\/\"><strong>\u30ec\u30dd\u30fc\u30c8\u3092\u30c0\u30a6\u30f3\u30ed\u30fc\u30c9\u3059\u308b<\/strong>.<\/a><\/p>\n\n\n\n<p>AI\u306b\u3088\u308b\u30ab\u30d0\u30ec\u30c3\u30b8\u30fb\u30c1\u30a7\u30c3\u30af\u3092\u5b9f\u969b\u306b\u898b\u3066\u307f\u308b <strong><a href=\"https:\/\/sprout.ai\/ja\/%e3%83%87%e3%83%a2%e3%82%92%e7%94%b3%e3%81%97%e8%be%bc%e3%82%80\/\">\u30c7\u30e2\u3092\u7533\u3057\u8fbc\u3080<\/a><\/strong>.<\/p>\n\n\n\n<p><\/p>","protected":false},"featured_media":0,"template":"","categories":[10],"tags":[],"sector":[],"topic":[25,21],"class_list":["post-11158","resource","type-resource","status-publish","hentry","category-insight","topic-ai-technology","topic-claims"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>AI in coverage checking \u2014 should insurers build or buy? - Sprout.ai<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sprout.ai\/ja\/\u30ea\u30bd\u30fc\u30b9\/ai-in-coverage-checking-should-insurers-build-or-buy\/\" \/>\n<meta property=\"og:locale\" content=\"ja_JP\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"AI in coverage checking \u2014 should insurers build or buy? - Sprout.ai\" \/>\n<meta property=\"og:description\" content=\"As insurers move from AI experimentation to operational deployment, one question keeps resurfacing: Should insurers build AI-driven policy coverage capability internally \u2014 or buy specialist expertise? The findings from The State of Policy Coverage Checking report \u2014 combined with insights from the webinar Insurance Claims Policy Checking 2025: Bottlenecks, Benchmarks &amp; Breakthroughs \u2014 suggest the industry is reaching a tipping point. While a small group of insurers is beginning to operationalize AI in coverage determination, 44% still report zero automation in coverage checks today. Coverage intelligence is becoming a critical capability in claims. The real question is, how insurers industrialize it at scale? 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The findings from The State of Policy Coverage Checking report \u2014 combined with insights from the webinar Insurance Claims Policy Checking 2025: Bottlenecks, Benchmarks &amp; Breakthroughs \u2014 suggest the industry is reaching a tipping point. While a small group of insurers is beginning to operationalize AI in coverage determination, 44% still report zero automation in coverage checks today. Coverage intelligence is becoming a critical capability in claims. The real question is, how insurers industrialize it at scale? 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