Health Insurance Claims Processing Automation
Accelerate claims adjudication with AI-powered document extraction and validation.
Solution Overview
Insurance claims involve EOBs, CMS-1500 forms, medical coding, and payer-specific rules. Cray automates intake, data extraction, eligibility verification, and claims submission — reducing denial rates and accelerating reimbursement.
The Manual Process Problem
Claims processors manually enter data from paper/PDF forms, verify patient eligibility via payer portals, apply billing codes, and submit claims — taking 20–40 minutes per claim.
Cray's Automation Approach
IDP extracts structured data from CMS-1500/UB-04 forms. Automated eligibility checks hit payer APIs in real time. Rules engines apply ICD-10/CPT coding validations. Clean claims are auto-submitted; exceptions go to human reviewers.
Key Benefits
Automation Coverage
Target Clients
- UnitedHealth Group
- Anthem
- Aetna
- Cigna
- Humana
- Centene Corporation
Why Cray for Claims Processing?
- 3+ years domain experience
- Deployment in 4–8 weeks
- ROI within 90 days
- 24/7 automated processing
- Enterprise security standards
Related Solutions
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