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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

  1. Sherlock provides real-time risk score for each incoming claims

  2. Flag claims that do not adhere to policy or clinical norms

  3. Help insurers improve savings by cutting claim leakages

  4. 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.



Product/Service details