Smarter Medical Claims Processing Starts Here

Reduce claim adjudication time and cost with our AI powered auto adjudication system

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Target Segments

Problem We Solve

Who We Serve

Healthcare Providers

Health Insurers

Third Party Administrators

Property and Casualty Insurers

Problem We Solve

Scaling Operations Is Tough

Scaling Operations is Tough

Claims settlement lead time and accuracy are key measures of health insurance customer satisfaction. Manual adjudication of claims is time consuming and introduces chances of human error or inconsistency

Key Challenges

Complexity Of Medical Claims

Consistency Of Adjudicators

Human Errors

Our Solution

AI Enabled Auto Adjudication

Autonomous extraction of diagnosis, and procedure codes [ ICD-1O-PCS / CPT / SNOMED] from patient clinical documentation

Map to adjudication guidelines and product T&C to arrive at adjudication recommendation with rationale

Can be configured for autonomous adjudication or Human-in-The-Loop workflows

Map to adjudication guidelines and product T&C to arrive at adjudication recommendation with rationale

Can be configured for autonomous adjudication or Human-in-The-Loop workflows

See Ravino in Action

Get a personalized demo tailored to your team’s needs. See how Ravino transforms the way you work with data, documents, and insight.

Request a Demo