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Use cases
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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
i3Claim
i3Claim

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Categories

Solutions

Description

Product Description:

i3Claim: End to end Claims Processing Automation solution

With increasing complexities and evolving consumer demands, digitisation of the claims process has become essential for insurers to ensure fast settlement & payment of claims as well as drive customer satisfaction and set standards of service.

However, traditional claims processes involve intensive document-driven operations and the processing of non-structured data in multiple formats/nomenclature, making it difficult for insurers to process claims efficiently and quickly.

i3claim helps in capturing significantly more data-points in much lesser handling time. It reduces the extent of manual data capture and human errors in the entire claims process by more than 60%, making it much faster and extremely scalable.

i3claim accepts data input from a variety of sources like Hospitals, Pharmacies and Diagnostic centres. It extracts, classifies, and standardizes non-structured data present across multiple documents.

i3claim reduces the claims process to a single queue, by automating several parallel activities. This improves efficiency and leads to a reduction in cashless discharge time from 4 hours to less than 30 minutes for 90% of the cases. AI-assisted processing covers accurate capture of Non-payable and tariff comparison on 60% of the line-items. This has led to an average of USD 200-5000 savings per claim compared to manual processing.

About i3systems:
i3systems is a healthcare machine learning product company, with a particular focus on the insurance clients. Our system can work on a variety of documents and unstructured data-sets to create an extremely high-quality data essential in predictive modeling, process automation, and decision making. The company has created unique frameworks which blend computational linguistics, machine learning / AI models, image processing, NLP, quality-control rule engines, interactive interfaces; in order to solve a wide variety of problems associated with Underwriting and Claims decision making in health and life insurance companies. Company's products i3claim, DataMD, DigiTariff and TBots perform process-automation, straight-through-processing with zero manual-touch-points, fraud detection, and Multi-dimensional risk stratification in Claims, Underwriting, Tariff digitization processes. We are Leaders in Health Insurance market today because of our innovative platforms and commercial structure. We have proven our capabilities across large enterprise clients in India and Globally helping the likes of AXA Gulf, Bajaj Allianz, ICICI Lombard, Healthcare TPAs, etc. achieve: • Over 50% reduction in operational costs, • Our AI/NLP based models help in achieving more than 90% accuracy, • 70% decrease in processing time, • 300% improvement in skilled FTE productivity, • 90% reduction in leakages due to insufficient data and capture errors, • With 0% compromise on information security.
Product Description:

Turn data into decisions with healthcare’s first and only streaming platform for personal health data. With connections to more than 550 unique devices, Validic helps you access and manage your population’s health data, personalizing care and ensuring you trigger the right insights to support the right actions.

About Validic, Inc.:

Validic is a digital health and personalized care company. With the world’s largest health IoT platform and EHR-embedded remote care application, we help care teams give every patient tailored interventions and personalized care, improving healthcare efficiency and delivery, and empowering patients to play an active role in their health and well-being.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:

End to end Healthcare and Life Insurance Claims processing automation solution.

Pediatric use cases:

Yes

Users:

Healthcare Insurance providers, Healthcare TPAs, BPOs / GSIs

Description:
  • Health and Wellness
  • Remote Monitoring
  • Population Health


Pediatric use cases:

None provided

Users:

None provided

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Patient portal, Pop health platform, Home health, Behavioral health, Community based organizations, Other

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Not applicable

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app)

Client Types

None provided

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

Validic's health IoT platform streams remotely captured personal health data and embeds it within the EHR. Discrete data is written to EHR flowsheets.

Use the most complete health data available to make better clinical decisions

With a single connection to the Validic® Inform health IoT platform, organizations can access data from 540+ home health and wearable devices. We maintain the business relationships, technical updates, and ongoing support — including vendor agreements, third-party terms and conditions, bugs, and compliance with industry regulations and standards.

Personalized, timely interventions with high-frequency data access

Validic’s advanced streaming capabilities provide the most efficient means to integrate continuous, near real-time personal health data from home health devices. High-frequency provides access to activity, heart rate, and blood glucose data at a rate up to one reading per minute.

Flexible, scalable, integrated

Using simplified data context, metrics, and reporting features, we intentionally built our proprietary data model and standardization process to scale and seamlessly integrate into any system. We standardize the endpoints to ensure data integrity and security in storage and in transit. Our platform architecture provides unlimited potential for personalization and customization with published APIs and SDKs that support future device and data type integrations.

Manage by exception

With configurable rules, care teams can track and manage their patients’ engagement, outcomes, and program adherence with automated triggers and notifications. Rather than monitoring constant streams of data or sifting through aggregated insights, elevate the data that requires attention and use rules to trigger actions based on the data delivered. Clinicians choose how to display, analyze and act upon insights while our solution works entirely “behind the scenes.”

Differentiators vs Competitors:

Validic offers the largest device-agnostic platform for personal health data. With one API connection, your organization gains access to secure, standardized data from more than 550 unique personal health devices — the broadest selection available on the market. As the only streaming platform for personal health data, Validic offers healthcare the next-generation tools for integrating continuous and aggregated data. With a simplified data retrieval process and expanded data model, Validic provides the most efficient means of ingesting near real-time personal health data without the need for additional IT resources. With insight from continuous monitoring devices, clinicians can help patients stay on track and make the right lifestyle choices to accomplish their goals.

Keywords

Images

1 of 1

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Videos

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i3 Logo Animation_20 10 2021_Highres.mp4

1 of 1

Validic Marketing Video - Digital Health Awards 2023.mp4

Downloads

No content provided

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2023-09-Health-IoT-Platform.pdf

Alternatives

Company Details

Founded in 2016

Founded in 2010

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