Anthem 使用 Amazon Textract 實現智慧索賠處理

2021

產業挑戰

健康保險公司花費數百萬美元從索賠表和隨附的附件中擷取敏感資訊以執行其業務操作。在 Anthem,每份索賠平均需要 20 分鐘來手動擷取這些資訊。為了減少體力勞動,該公司希望自動化此程序。

AWS re:Invent 2020:保險行業的智慧文件處理 (29:45)
kr_quotemark

我們希望 Amazon Textract 之類的技術將協助 Anthem 成為一個數位優先的組織。」

Reddi Gudla
Anthem 主管副總裁

Anthem 的解決方案

Anthem 求助於 Amazon Web Services (AWS),從而使用 Amazon Textract 來數位化和自動化其索賠程序。Amazon Textract 是一種全受管的機器學習服務,可自動從掃描的文件中擷取印刷文字、手寫文字和其他資料)。Anthem 之所以選擇 Amazon Textract,是因為其影像處理能力、偵測資料表和表單的能力,以及對安全與合規標準的遵從。

醫療供應商向 Anthem 的供應商入口網站提交文件後,文件會進入資料存放區並傳送至採用 Amazon Textract 技術的數位處理功能。在此功能中,Amazon Textract 使用光學字元辨識來擷取資料,並使用機器學習自動索引和分類每個文件。然後將處理的索賠提供給 Anthem 利害關係人。

進一步了解 AWS 與醫療保健:aws.amazon.com/health

使用 AWS 取得的效益

  • 擷取和數位化資料以每天快速處理數以千計的索賠
  • 自動化 80% 的索賠處理工作流程
  • 預計在 AWS 上實現 90% 或更高的自動化程度

 

關於 Anthem

Anthem 是美國最大的健康保險供應商之一。


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