Anthem 使用 Amazon Textract 实现智能理赔处理

2021 年

行业挑战

健康保险公司需要花费数百万美元从理赔表单和相关附件中提取敏感信息,以便执行其业务运营。在 Anthem,每次理赔平均需要花费 20 分钟来手动提取此类信息。为减少人工工作量,该公司需要实现流程的自动化。

AWS re:Invent 2020:在保险业实施智能文档处理(29:45)
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我们希望 Amazon Textract 这样的技术能够帮助 Anthem 成为数字优先企业。”

Reddi Gudla
Anthem 助理副总裁

Anthem 的解决方案

Anthem 求助于 Amazon Web Services(AWS),使用 Amazon Textract 实现理赔流程的数字化和自动化。Amazon Textract 是一项完全托管式机器学习服务,可以自动从扫描文件中提取打印的文本、手写字和其他数据。Anthem 之所以选择 Amazon Textract,是因为它具有图像处理功能、检测表格和表单的功能,并且符合安全性和合规性标准。

医疗服务提供商将文档提交到 Anthem 的提供商门户后,文档会进入数据存储并被传送到由 Amazon Textract 提供支持的数字处理功能。在此功能中,Amazon Textract 会使用光学字符识别来提取数据,并使用机器学习自动为每个文档添加索引和进行分类。然后,将处理后的理赔提供给 Anthem 的利益攸关方。

要详细了解 AWS 在医护领域的应用,请访问:aws.amazon.com/health

AWS 的益处

  • 提取数据并将其数字化,以便每天快速处理数以千计的理赔
  • 实现 80% 的理赔处理工作流自动化
  • 预计在 AWS 上实现 90% 以上的自动化

 

关于 Anthem

Anthem 是美国最大的医疗保险提供商之一。


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