Perfios has developed a one-of-a-kind solution that automatically detects anomalies in a treatment that a person has undergone in a hospital, in real time. This solution is able to read and understand the claim documents from any health provider across multiple geographies and languages, digital or otherwise, and can automatically identify suspicious or anomalous patterns within those documents.
This is completely automated and provides these triggers live during the claim processing so that the insurer can identify and save their payouts. With this solution, the insurer can expect 3 to 5 per cent savings overall in their claim payout within the first year.
It enables insurers to track treatment trends across healthcare providers and accurately price their policies, passing on cost savings from fraud detection to their customers. Remarkable reduction in turnaround time for processing cashless claims to less than 40 minutes.