i3claim is a flagship product of i3Systems enabled with intelligent automation that provides end-to-end handling of claim backend process. The solution is equipped with components to manage the overall claims process from accurate data ingestion, quality checks, cognitive decision models, fraud detection, settlement creation, to authorization and approval processes. This helped in reducing manual intervention and operational cost significantly.

i3systems' solution for medical claims (i3claim) comprises a variety of pre-trained AI models for carrying out auto-adjudication of claims, which will be used to tailor a solution within a short time.

● DocuID: Document Identification for Reports, Clinical notes, Invoices, Forms, ID cards, Cheque etc.

● MetaID: Meta data extraction and standardization

● BillBot: Data extraction and validation from medical bills

I3systems' significant understanding of insurance processes has helped us deliver significant ROI to all our insurance clients. For a given business process, i3systems’ technology:

· Captures 90% data automatically of which 95% is found to be accurate.

· In mature solutions like i3claim, the capture rate is in excess of 95% with accuracy in excess of 99%, due to extensive training on millions of medical claims.

· Multiple steps in a business process can be integrated onto the platform, it avoids multiple queuing of cases and therefore inordinate delays. This has reduced operational costs by 50-80%, increased manpower efficiency by up to 400%, and reduced process TATs by up to 90%, while ensuring nearly 100% accuracy on all processes.

· Reduction in TATs has increased the customer satisfaction because of significant decrease in the claim pay out time.