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Where the people, policies, & insights of innovation come together

Settlemed AITM , Transforming Ayushman Mediclaim for Effortless Operations and Financial Excellence with Patient Satisfaction!
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2024
The Power of AI to Automate Mediclaim Processing, Streamlining and Accelerating the Often Costly, Time-Consuming, and Error-Prone Claims Settlement Processes
Challenges
Solutions
Mediclaim where
AI is optimizing the processes
why settlemed?

The primary objective of the National Health Authority (NHA) is to streamline claim processing. In alignment with this goal, Settlemed offers solutions with Code Pilot AITM and Claim Denial Prediction AITM, which ensure accurate patient admission coding. Traditionally, this task relies on certified professional coders and specialist doctors, but engaging these highly skilled professionals incurs significant upfront costs for hospitals. Additionally, it diverts medical professionals' focus from patient care to repetitive paperwork, leading to inefficiencies.

The real-time availability of specialist doctors for claim submission can be challenging. Claim Denial Prediction AITM addresses this issue by allowing hospitals to check the chances of claim denial before submission. This facilitates the initiation of the correct documentation in real time, while maintaining accuracy and transparency in the admission process, resulting in clean claims

Claim submission to payout process that brings AI Results in weeks, not years

Roadmap

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Executive
Training

Onboard SettlemedTM
Technology

SettlemedTM
Trial
Period

Unlock
Financial
Excellence
Production

Upon agreeing on the
roadmap, we sign a contract and set up a Settlemed Team

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Beneficiary Result of AI in Ayushman Mediclaim

₹ 30000000

Saved operational Costs due to AI

₹96000000

Generated revenue by AI Solutions

9880 hrs.

medical professionals time saved with help of AI