i3claim creates standardized data from a claim document set, received from any of 100,000+ hospitals in India, and makes an accurate decision on every claim with a short turnaround time of 5 minutes. This helps insurance companies settle claims faster and more accurately, improving customer experience while reducing costs at the same time. DigiTariff carries out Digitization of Provider Tariff Documents and converts paper scans of hospital tariffs into structured, standardized tables.
Once that is done, T-bots carry our comparison of bill items vs tariff items and packages. This leads to over 5% reduction in total claims expenses for insurers.
Significant reduction in tat for financial adjudication during final settlement
Standardization of provider agreements across networks for analytics
DigiTariff is i3 System's revolutionary claim processing digitization solution. It extracts, classifies and validates over 300 data points in every claim document reducing the manual efforts of a practitioner hence increasing productivity by over 400% and reducing costs by 50-80%.
Automatic extraction of basic data-points like Date of Admission/Discharge and its validation; has helped expedite Query and Claim settlement while preventing wastage of time on the ones to be rejected.
No need to compromise on converting the information in bills to digitised data, as our systems extract each line item automatically
All the master databases of Hospitals,CIMS, Physicians etc. can be easily updated and used in i3 Claim processing by using our suite of technology for “Smart Databases”.
The claim adjudication algorithms can prevent payment leakages due to oversight,by tracking the treatment plan itself and not just the financials.
Most leading payers (insurers and TPAs) in India have agreements with nearly 10,000 providers. These agreements run into 100s of pages and have very granular information on how much a provider can charge for any treatment, investigation, consumable, etc.
These agreements are stored as scans or images, with non-standard data presented in multiple formats. Every time the insurer staff assesses a claim, they must open these agreements and manually compare bill line items against the agreement. This is extremely tedious and, predictably, leads to long processing times and significant financial leakages due to oversight.
DigiTariff uses advanced AI to convert these agreements into a digital format, with standardized data, for automatic comparison between tariff items and bill items, with ~100% accuracy and over 100 times faster. This will enable insurers to process cashless claims in real time, allowing faster discharge post-treatment, easier settlement of claims and fewer losses for insurers.
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