AI Driven Medical Payment Integrity using Sherlock.AI

Our customer is one of the largest Health Insurance companies in the Middle East. The customer deployed our CMS, AMA and WHO compliant AI/ML driven Medical Payment Integrity platform for real time as well as batch processing of claims.

The platform was deployed end-to-end in a little over six weeks and the customer started saving over US $15 million on an annualized basis within a few weeks of deployment. Additionally, the platform is on track to deliver over 70% claim automation.