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Anthem Enables Intelligent Claims Processing Using Amazon Textract

2021

Industry Challenge

Health insurance companies spend millions of dollars to extract sensitive information from claims forms and accompanying attachments to perform their business operations. At Anthem it took an average of 20 minutes per claim to manually extract this information. To reduce manual labor, the company wanted to automate the process.

AWS re:Invent 2020: Intelligent document processing for the insurance industry (29:45)
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We hope technologies like Amazon Textract will help Anthem become a digital-first organization.”

Reddi Gudla
Staff Vice President, Anthem

Anthem’s Solution

Turning to Amazon Web Services (AWS), Anthem used Amazon Textract—a fully managed machine learning service that automatically extracts printed text, handwriting, and other data from scanned documents—to digitize and automate its claims process. Anthem chose Amazon Textract for its image-processing capability, ability to detect tables and forms, and adherence to security and compliance standards.

After a medical provider submits documents to Anthem’s provider portal, the documents enter a data store and are sent to a digital-processing function powered by Amazon Textract. Inside this function, Amazon Textract uses optical character recognition to extract data and uses machine learning to automatically index and classify each document. The processed claim is then made available to Anthem stakeholders.

Learn more about AWS for Healthcare: aws.amazon.com/health.

Benefits of Using AWS

  • Extracts and digitizes data to quickly process thousands of claims each day
  • Automated 80% of its claims-processing workflow
  • Expects to reach 90% automation or higher on AWS

 

About Anthem

Anthem is one of the largest health insurance providers in the United States.


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