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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)
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.
Greenway Health uses AWS HealthLake to offer a fully managed certified FHIR electronic health record solution for providers, helping them serve patients more efficiently while creating a foundation for innovation.
NHS Midlands and Lancashire (NHS ML) supports nine Integrated Care Boards (ICBs) across England from its bases in the Midlands and North West, providing the high-quality transformational and back-office support they need. Using traditional methods for all patient contact was time consuming, ineffective, and expensive. The NHS ML Referral Management Centre chose AWS Partner Digital Space to migrate its patient contact center to Amazon Web Services (AWS) and deployed an automated multi-channel approach to patient communication and engagement. The innovative digital transformation of its patient waiting list management reduced waiting lists 9–14%, depending on specialty.
As the information and communications technology provider for the New South Wales (NSW) public health system, eHealth NSW supports the vital work of healthcare delivery to patients across the region. eHealth NSW moved its on-premises infrastructure to AWS to drive innovation, reduce costs by millions of dollars, and save more than 144,000 hours of productivity for front-line providers. With ten times the performance improvement in its patient records system, medical professionals get fast access to clinical data resulting in better care and outcomes.
With doctors overwhelmed by patient loads and administrative tasks, and millions of patients lacking access to their own health data, India's healthcare system stands at a critical juncture. Eka Care recognized an opportunity to use generative AI as an ‘intelligence’ to transform the healthcare system for doctors and patients.
Organizations of all sizes across all industries are transforming their businesses and delivering on their missions every day using AWS. Contact our experts and start your own AWS journey today.