Solutions for Healthcare and Health Insurance
Artificial intelligence in healthcare

Doctor's letters, medical findings, lab reports, and medical bills arrive as scans, faxes, PDFs, or photos. Konfuzio reads them, assigns them to the appropriate case, and verifies that the billed service matches the diagnosis. Medical decisions and decisions regarding services remain the responsibility of humans.

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The software

Developed in Germany · ISO 27001 · GDPR · On-premises deployment available

What Konfuzio does in the healthcare sector:

Sort Inbox

Doctor's letters, invoices, requests, prescriptions, and test results are recognized and assigned to the appropriate case, medical record, or team, whether they come via email, scan, fax, or upload.

Read data

Diagnoses, lab results, medications, fee codes, and amounts from doctors' notes, lab reports, and invoices—including handwritten notes and cell phone photos.

Verify the information

Verification rules compare billed services with the diagnosis, the amount with the fee schedule, and the treatment date with the insurance coverage period. Any discrepancies are marked with the source in the original document.

Respond to inquiries

Konfuzio Chat provides answers based on plan terms, guidelines, and forms for policyholders, patients, and the company itself.

Review Medical Bills

Invoice line items, fee codes, and amounts are extracted and compared with the rate schedule and diagnosis. Invoices that raise concerns are forwarded to the case worker; those that do not raise concerns are processed without further inquiry. Processing Medical Bills Digitally.

Health Screening in the Application

Doctor's letters, medical reports, and questionnaires are organized; pre-existing conditions are flagged and assigned to the application. Risk assessment remains the responsibility of underwriting. Automated Review of BU Applications.

Review lab results and findings

Values, units, and reference ranges from lab reports—including those from cell phone photos—as structured data for patient portals, medical records, or clinical trials. Digitizing Lab Results.

Claims and Correspondence

All correspondence related to a performance or risk assessment is reviewed, organized chronologically, and consolidated into a single view along with names, dates, and diagnoses. Understanding Patient Records with AI.

Safety and Operations

Operated Safely, Decisions Made in a Transparent Manner

Company of your choice: in data centers in Germany, in your data center, or on-premises.
ISO 27001: Certified in software and information security; documentation available in the Trust Portal.
Data Processing under the GDPR: Data will be deleted after the contractually agreed-upon period.
People decide: Mark the review rules; the case worker or doctor approves them. No decision can be made without approval.
EU AI Act: Documentation and record-keeping to meet your reporting requirements, What the AI Regulation Requires.

Privacy and security

For Data Protection and Medical Management

In-House Health Data: Can be operated in your area without any data leakage
Data Processing Agreement and certificates on the Trust Portal
Test Run with Your Documents before the decision
Component Overview and license list available upon request

From Real-World Experience:

Digitization

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Digitizing data from the lab

Use case: Automated reading of health data

Processing Medical Bills Digitally: Private Health Insurance Companies Benefit from Automation

Solutions for Healthcare and Health InsuranceArtificial intelligence in healthcare