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Description
The flagship claims processing solution from Acrometis provides exceptional workflow management by utilizing a configurable rules engine to automatically route documents. This system is built around various elements such as claim assessment scoring, matching body parts to claim compensability, adhering to jurisdictional directives, and scoring relatedness, all aimed at minimizing both the duration and costs associated with claims. Notably, CLAIMExpert can autonomously process 65 percent of incoming medical bills and non-medical documents without requiring any user intervention. Documents that need adjuster review are efficiently flagged and organized to facilitate straightforward decision-making, ensuring that the process remains streamlined. With no need for adjuster involvement for the initial processing, clients often experience an improvement ranging from 11 to 23 points in medical loss within the first year. Furthermore, CLAIMExpert is equipped with rules addressing over 190 different document types, enabling it to swiftly manage whitemail and any other documentation that may arrive at an adjuster’s desk. This comprehensive approach not only enhances efficiency but also significantly impacts the overall claims handling process.
Description
DRILLER is an advanced analytics solution designed to facilitate the digitization and in-depth examination of insurance portfolios by processing both structured and unstructured data. It enhances the understanding of the portfolio's overall durability and the composition of claims. With its capabilities, it accelerates the release of reserves, contributing to reduced solvency capital needs and lower costs associated with capital. This innovative tool harnesses the power of artificial intelligence to conduct thorough analyses of portfolios and claims while forecasting the likelihood of adverse claim developments through a severity scoring system. Moreover, it allows for the early detection of claims that may be under or over-reserved. Users benefit from fully searchable documentation and claims, along with a comprehensive insight into portfolio composition. The tool excels in recognizing characters, numbers, and sentiment, categorizing documents, and pinpointing specific claim characteristics. Additionally, it streamlines the review and prioritization process for critical claims demanding immediate attention, all backed by an automated analysis of the entire portfolio, enhancing operational efficiency and decision-making.
API Access
Has API
API Access
Has API
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
Acrometis
Founded
2002
Country
United States
Website
www.acrometis.com/our-solutions/claimexpert-and-associated-services/
Vendor Details
Company Name
DGTAL
Country
Germany
Website
dgtal.io/products/
Product Features
Claims Processing
Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration