Health Claims Investigation System

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Insurance Workflow Automation System eOxegen AI

Health Claims Investigation System

With our pioneer and unified software program for Health Claims investigation system, the claim settlement for healthcare and fraud detection will be upon outcome based analysis. It will protect against waste, abuse, fraudulent claims and error. Every complex problem of medical cost management, risk assessment is handled by a dynamic controlled workflow that takes into account cases which deviate from the standard. When a red flag is raised, in any health or auto insurance claim, the Claims Investigation and Management System starts processing it.

To provide reliable and predictive data analysis our tools take advantage of analytics techniques, KPI’s, Data processing, data mining, and decision support engines to analyze complex and related and seemingly unrelated claims to prevent fraudulent claims and losses because of such payouts. Human errors are done away with as our system follows auto insurance claim investigation process.

We follow a customised approach for your industry and clientele and helps you retain customers by giving a validated check while preventing your financial losses.

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