Product/Health Claims Detection

CLAIMS DETECTION

Protect your organisation From fraud

Curacel's claims detection system provides a comprehensive solution to curb fraudulent cases and safeguard your resources. With accurate and reliable detection, you can confidently approve valid claims and deny fraudulent ones.

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Curacel CLAIMS detection

Curacel Detection is a powerful, artificial intelligence-based fraud detection solution delivered as a software-as-a-service (SaaS). It helps insurers identify and prevent potentially fraudulent insurance claims, performing up to 12 times better than in-house detection systems and resulting in approximately 25% lower payouts.

With Curacel Detection, insurers can view a comprehensive list of vetted claims, with indicators for flagged claims, all on a single, easy-to-use dashboard, making it easier for claims handlers to conduct quality assurance

$3M+

FWA Saved

$100M+

Transaction Value

5000+

Health Providers Nework

25+

Insurers

OUR BENEFITS

Why Curacel Detection?

Save money for your business

Achieve cost-saving and reduce payouts related to fraud and waste by at least 20%.

No more claims backlogs

Our AI technology speeds up your adjudication and vetting process by 90%.

No process change

The technology works on your backend by seamlessly integrating with your existing system, hence no need for new learnings or process change.

Accurate technology

With auto-vetting accuracy of up to 99%, your team can rest assured that the system has handled the claims better humans would.

Improving technology

Our AI technology keeps learning and improving to make your claims processing better and faster as you grow with Curacel.

Customizable system

The system is fully customised and adapted to how you operate as a business with the aim of optimising your processes and reducing costs.

Frequently Asked Questions

Pricing

No initial investment required. You pay as you go, and only pay for what you use. It enables you to scale your health claims operations without incurring unnecessary cost.

Is it an ERP?

Curacel's health claims management system is more than an ERP or CRM. You are enabled to automate and optimise your operations and gain valuable insights into your claims data for better decision making.

Integration

Integrating with the Curacel’s health claims management API is swift, with an on-time support at every stage, unlimited. And at no extra cost. Our system gives your team a quality time to value.

Security

To ensure the security and protection of your data, we have implemented several measures including:

1. Encrypting all data transmitted between our systems and your devices with SSL encryption and AES 2048-bit keys.
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2. Detecting and preventing unauthorized access to our systems with intrusion protection.
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3. Protecting against DDos attacks, which could disrupt the availability of our servicesIsolating different functions and data through a compartmentalization architecture.
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4. Automating security tasks with the use of Amazon Macie to detect potential security risks in our data stores.