AiReview© for cutting edge medical review, and auditing
AiReview is an AI powered medical claims reviewing and auditing solution which transforms the traditional process. Investigate medical records and data in a smart and automated way.
See How
Medical claims reviewing & auditing has never been as smart, engaging, and eye-opening as with AiReview!
Input
Medical claim files received from healthcare providers and medical record files, including all clinical and non-clinical information.
The AI System
AiReview’s machine learning algorithm extracts & validates details under diagnosis, procedures and medications against international coding guidelines
Output
The decision-support system clearly indicates which entries are accepted and which are rejected, and highlights anomalies based on network member behavior.
How does AiReview transform medical claim auditing and reviewing ?
Reduce undetected errors
proactive approach to validating & auditing claims more effectively makes it hard to miss out on medical coding errors.
Identify Fraud, Waste & Abuse
an efficient tool to detect and correct FWA cases before payments are made to providers resulting in reduced loss ratio.
Growing and improving by time
the deep reinforcement learning model and the continuous R&D means you get better results each day.
Medical claims managing made easy
Easy to use, smart, and integrated solution to review medical claims efficiently.
