Sensentia automates complex healthcare administration/operation tasks that until now required human intervention, driving higher efficiency and better quality of service at lower costs:
- Benefit eligibility inquiries to payers.
- Claim processing and validation.
- Claim adjudication.
Sensentia's platform is capable of handling such tasks automatically at a high reliability (>95%).
Our first product helps health insurers handle the billions of complex real-time benefit eligibility inquiries from care-providers and members.
Currently handled by call-center agents, answering is slow, expensive, and suffers from high error rates.
Sensentia offers, for the first time, a fully automated, highly reliable, web/mobile-based alternative.
In a recent proof-of-concept pilot with a top 5 insurer, Sensentia's system demonstrated 97% accuracy answering real provider inquiries based on representative original policies.
The system is as intuitive as asking another human a question.