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Artificial intelligence in healthcare

Konfuzio®

Faster response times, lower error rates and less loss of information - the benefits of artificial intelligence in the healthcare sector are enormous. By using AI, the healthcare sector is supported in various activities and benefits from the optimization of processes.

Use the expertise of our experts to customize Konfuzio AI specifically for your applications. We support you with the ideal technical environment and the necessary know-how.

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Data and AI in healthcare

Artificial intelligence offers promising opportunities in healthcare, because one of the biggest challenges lies in the networking of the players involved, such as health insurance companies and insured persons. A multitude of interfaces, high data security requirements and vast amounts of information make it difficult to review critical cases. AI allows data to be processed quickly and specifically and is integrated easily into follow-up processes.

Faster response times, lower error rates and less loss of information give you a competitive edge.

For example, AI can be used to reduce the workload of clerks when checking medical records. Individual risks are identified automatically and pre-existing conditions are sorted into risk classes. This subsequently facilitates further processing by humans.

Use Cases

Understanding medical records with AI in healthcare

Challenge

The medical history of a patient or policyholder includes various operation reports, doctor's letters and test results. These are often unstructured. Doctors, insurers and other parties involved spend countless hours organizing the various documents and assigning them to a patient.

How can Konfuzio help?

For example, our AI helps a German reinsurer to understand all correspondence in the risk or benefit assessment, which is essential for their assessment of the insured event.

Solution

With Konfuzio, both doctors and insurers have structured access to the patient's medical history and can immediately track all important information such as name, dates, previous illnesses, etc. in an organized form. For new documents, an accuracy of up to 90 % is possible.

Using AI in healthcare for fraud detection

Challenge

Health insurance companies are often confronted with invoiced medical services that do not correspond to the actual performance. These can be simple cases, such as double billed medical bills, but also intentional fraud.

How can Konfuzio help?

Konfuzio solves this problem by automatically comparing the diagnosis with the billed service in the background. The artificial intelligence immediately detects inconsistencies and points them out.

Solution

This led to a fraud reduction to almost zero for one of our health insurance customers and to considerable savings.

Perform healthcare sentiment analysis with the help of AI

Challenge

To keep up with customer trends in today's world, companies only need to take a look at the often highly emotional reactions on social media and in rating and comment columns. However, this requires an enormous amount of time.

How can Konfuzio help?

Konfuzio supports doctors with the help of sentiment analysis and thereby improves treatments and patient services by analyzing how patients talk about their treatments or medications, for example. This can be done by analyzing social media or emails between patients, their doctors or pharmaceutical companies.

Solution

Our software can help to carry out a sentiment analysis so that, for example, doctors can gain a better understanding of their patients' feelings or companies in general can adapt their products more precisely to their customers' wishes.

Creating real value for healthcare from data through AI

The possible applications of artificial intelligence in healthcare are vast and offer incredible potential.

Konfuzio helps you to understand and validate data from your documents.

We go beyond the partial automation of processes and offer end-to-end automation. In this way, we enable our customers to constantly change and adapt in the digital age. Take full advantage of the competitive edge that can be established through the combination of AI, data and human expertise.

This allows you to create real added value from your data through data-driven value creation.


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