Overview
Sherlock Platform is a state-of-the-art AI native platform to digitize and automate end-to-end claims process. Sherlock is trained on millions of medical claims to identify and flag aberrant claims.
Key Features
Sherlock provides real-time risk score for each incoming claims
Flag claims that do not adhere to policy or clinical norms
Help insurers improve savings by cutting claim leakages
Identify and flag non-payable claims
Key Benefits
Upto 99% accuracy of decisions to payers
Provides 50x + ROI
Delivered $100M savings
Reduce TAT throughout claim lifecycle and settle claims in less than 15 mins
Auto-adjudication of the insurance claims through a rule-based claims processing system.
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SOLUTION OR SERVICE TYPE