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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

Description

For over two decades, Brighterion has transformed the landscape of artificial intelligence. Our innovative AI solutions effectively combat payment and acquirer fraud, mitigate credit risk and delinquency, and thwart healthcare fraud, waste, and abuse, among other benefits. With remarkable scalability, your potential for growth knows no bounds. Coupled with robust personalization, the models are tailored to align with your specific business objectives. You can unlock the capabilities of Brighterion AI in as little as 6-8 weeks through our AI Express program. We recognize that the concept of advanced AI may seem daunting, especially when transitioning from traditional rules-based systems to a new paradigm. What if the perceived risks were alleviated, allowing you to pilot your customized model within just 6-8 weeks? Prepare for deployment by witnessing firsthand the return on investment and the superior performance of AI models compared to conventional rules. Leverage the transformative power of AI to minimize transaction-level fraud and merchant risk, ensuring fraud, waste, and abuse are detected before any claims are processed. This proactive approach enables businesses to operate with greater security and efficiency.

Description

An automated claims platform that operates seamlessly from start to finish, leveraging AI-driven decision models for tasks such as data collection, policy and coverage verification, medical coding, and consistency assessments. Our advanced AI models are designed to minimize losses and enhance your loss ratios by effectively detecting fraud, waste, and abuse in health and life insurance sectors. Qantev empowers insurers globally by improving operational efficiency, curbing losses, and elevating client satisfaction. By integrating artificial intelligence with deep medical knowledge, our dedicated team of data scientists and engineers has created cutting-edge solutions that streamline the claims management process while identifying fraudulent activities. Our specialized AI tools are adept at capturing, cleansing, enhancing, and digitizing data from a variety of claims documents in multiple languages. Additionally, we bolster the performance of your medical provider network with automated insights, identifying pricing gaps, recommending strategies, simulating different scenarios, and much more to optimize outcomes. This holistic approach ensures that insurers not only respond to claims effectively but also proactively prevent potential issues before they arise.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Mastercard

Founded

1966

Country

United States

Website

brighterion.com

Vendor Details

Company Name

Qantev

Founded

2018

Country

France

Website

www.qantev.com

Product Features

Fraud Detection

Access Security Management
Check Fraud Monitoring
Custom Fraud Parameters
For Banking
For Crypto
For Insurance Industry
For eCommerce
Internal Fraud Monitoring
Investigator Notes
Pattern Recognition
Transaction Approval

Product Features

Insurance Claims Management

CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting

Alternatives

Alternatives

NEMESIS Reviews

NEMESIS

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