Healthcare Payers

Solve rising healthcare costs by digitalizing your biggest asset - Data.

AI Solutions for Healthcare Payers

AiRo brings significant impact in improving member engagement, consumer engagement programs, and provider collaboration along with medical insurance claim automation. Through a combination of advanced analytics and intelligent automation, we help in lowering the total cost of care.

Reimagine member interaction, generate business value by unlocking workforce capacity and enable your digital future with AiRo. We bring you AI solutions across the Payer administrative, financial, and engagement processes.

Eligibility Verification

Eligibility Verification

Member Enrollment

Member Enrollment

Benefits Management

Benefits Management

Provider Network Management

Provider Network Management

Claims Adjudication

Claims Adjudication

Fraud, Waste and Abuse

Fraud, Waste and Abuse

Underwriting

Underwriting

Voice-AI based Customer Assistance

Voice-AI based
Customer Assistance

Examples of how healthcare payers have already leveraged AiRo to adopt AI.

  • End-to-end touchless claims adjudication

  • Agent-less member enrollment

  • Recommendation AI engine for member benefits management

  • AI and RPA-driven provider network management

  • Data sciences-enabled fraud, waste and abuse detection

  • Voice AI-based member engagement

  • Fully automated Care Coordination and care plan creation

  • ML-based member profiling and risk assessment 

  • Predictive analytics for hospital inpatient length of stay

The AiRo Differentiation

Reduce Costs, Gain Flexibility, Generate Growth

Member Journey OptimizationBringing retail responsiveness to member experience and adding value to their healthcare journeys, every step of the way

Member Journey Optimization

Bringing retail responsiveness to member experience and adding value to their healthcare journeys, every step of the way

Collaboration with ProvidersFacilitating information exchange, provider network management, transparency, and joint clinical improvement

Collaboration with Providers

Facilitating information exchange, provider network management, transparency, and joint clinical improvement

Cost Control and Revenue Enhancement Flagging potential fraudulent claims and streamlining healthcare payment continuum

Cost Control and Revenue Enhancement

Flagging potential fraudulent claims and streamlining healthcare payment continuum

Data-Driven EnterpriseSupporting a data-driven strategy from data aggregation to data analysis and adoption

Data-Driven Enterprise

Supporting a data-driven strategy from data aggregation to data analysis and adoption

Our Case Studies

Your Success, Our Reputation

We all want and deserve the same thing — a healthcare system that works better for everyone. Read about some of our pioneering work.

  • Intelligent Claims Scrubber Solution Helps Insurance Provider Reduce 66% Duplication Of Claims

    AiRo devised a solution that leverages AI technologies like RPA and machine learning to meet the clients changing demands. The solution could accelerate all aspects of the claims process workflow- Data input, Decisioning and Payout.

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