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    Intelligent Claims Processing and Adjudication with Agentic AI

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    Persistent helps healthcare payers and claims organizations modernize claims adjudication through Agentic AI and Intelligent Document Processing on AWS. Our solutions automate medical record analysis, document classification, data extraction, summarization, and claims review workflows to accelerate processing, improve accuracy, and reduce operational costs.

    Overview

    Transform Claims Adjudication with Agentic AI

    Persistent Systems helps healthcare payers, managed care organizations, and insurance providers accelerate claims adjudication using Agentic AI, Intelligent Document Processing (IDP), and Generative AI solutions built on AWS.

    Claims adjudication teams often process large volumes of medical records, discharge summaries, physician notes, prescriptions, diagnostic reports, and supporting documentation. Manual review of these documents can result in delays, operational inefficiencies, increased costs, and inconsistent outcomes.

    Persistent addresses these challenges through AI-powered claims automation solutions that analyze medical documents, extract critical information, generate contextual summaries, and present adjudicators with structured insights to support faster and more informed decision-making.

    Service Capabilities

    • Intelligent Document Processing (IDP)

    • Medical Record Classification and Analysis

    • Clinical Entity Extraction

    • Claims Adjudication Automation

    • AI-Powered Summarization

    • Longitudinal Patient Journey Construction

    • Medical Document Intelligence

    • Agentic AI Workflow Orchestration

    • Healthcare Data Intelligence

    • Enterprise Claims Modernization

    Key Business Benefits

    • Accelerate claims review and adjudication cycles

    • Improve data extraction accuracy across medical records

    • Reduce manual effort and operational overhead

    • Improve adjudicator productivity

    • Increase processing consistency and quality

    • Minimize review delays and SLA breaches

    • Enable scalable and intelligent claims operations

    Typical Use Cases

    • Healthcare Claims Adjudication

    • Workers' Compensation Claims

    • Medical Record Analysis

    • Clinical Document Processing

    • Prior Authorization Workflows

    • Healthcare Operations Modernization

    • Intelligent Document Processing

    • Revenue Cycle Optimization

    AWS-Powered Foundation

    • Amazon Bedrock

    • Amazon OpenSearch Service

    • Amazon S3

    • AWS Lambda

    • AWS Step Functions

    • Amazon DynamoDB

    • Amazon API Gateway

    • Amazon CloudWatch

    Why Persistent Systems?

    Persistent combines deep Healthcare and Life Sciences expertise with Generative AI, Agentic AI, and AWS cloud capabilities to help organizations transform claims operations. Our solutions improve operational efficiency, accelerate decision-making, and create scalable claims adjudication platforms capable of handling growing document complexity and processing demands.

    Highlights

    • Agentic AI-powered claims adjudication that automates medical document analysis, information extraction, and review workflows.
    • Intelligent Document Processing accelerates claims review by transforming complex medical records into structured insights.
    • Improve adjudicator productivity and processing efficiency through AI-powered summarization and healthcare data intelligence.

    Details

    Delivery method

    Deployed on AWS
    New

    Introducing multi-product solutions

    You can now purchase comprehensive solutions tailored to use cases and industries.

    Multi-product solutions

    Pricing

    Custom pricing options

    Pricing is based on your specific requirements and eligibility. To get a custom quote for your needs, request a private offer.

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    Legal

    Content disclaimer

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    Support

    Vendor support

    Persistent Systems provides end-to-end implementation, integration, and support services for healthcare claims automation and adjudication solutions built on AWS.

    Services include AI solution design, Intelligent Document Processing implementation, Generative AI adoption, workflow automation, healthcare data integration, operational optimization, and ongoing support.

    Support Coverage:

    • Solution implementation and onboarding

    • Claims workflow modernization

    • AI model configuration and optimization

    • Healthcare document processing integration

    • Operational support and troubleshooting

    • Platform enhancement recommendations

    Support Website: https://www.persistent.com