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Industry:

Insurance

Country:

Portugal

Company:

AdvanceCare is a group that focuses on health promotion with quality and innovation. Founded in 1998 in Portugal, it emerged during the implementation of OECD recommendations to enhance access to healthcare.

Case Studies

51%​ of medical claims ​fully automated.

CRM Integration

Solution

Backoffice Process Assistant

Achievement

51%​

Medical claims fully automated​

Main Achivements

  • 10x lower cost per approval
  • 98% accuracy rate
  • 30 minutes to approval​

The challenge

  • 100% medical claims handled manually.​
  • 2,5 days to approve each process.​​
  • Cost per decision: €12 to €25.​

The solution

  • Automaise created a cognitive automation that is able to mimic ​the decisions of paramedics and automate the approval of medical claims.
  • The level of automation is steadily increasing as more data is processed, allowing the insurance company to dedicate more resources to highly complex cases.​

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