Best AI tools for< Claims Examiner >
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20 - AI tool Sites
Overjet
Overjet is the #1 Dental AI Platform for providers and payers, offering artificial intelligence solutions to enhance clinical care and administrative efficiency in the dental industry. The platform leverages AI technology to improve oral health by providing clinically precise, efficient, and patient-centric services. Overjet is recognized by Forbes as one of the top 50 AI companies shaping the future, trusted by leading payers and providers in the dental field. It offers features such as Clinical Intelligence Platform for providers and Claim Intelligence Platform for payers, empowering teams to achieve better patient outcomes and streamline claims processes.
Rapid Claims AI
Rapid Claims AI is an autonomous medical coding and documentation solution powered by AI technology. It aims to streamline medical coding operations, reduce administrative costs, improve reimbursements, and ensure compliance for healthcare providers. The platform offers features like automated coding, personalized solutions, actionable insights, and customizable AI rule sets. Rapid Claims AI is designed to seamlessly integrate into existing workflows, catering to various healthcare setups and specialties. The application prioritizes security and privacy, with data encryption and secure cloud storage. It serves as a valuable tool for enhancing revenue cycle management processes in the healthcare industry.
Gradient AI
Gradient AI is a leading provider of artificial intelligence solutions for the insurance industry. Their solutions improve loss ratios and profitability by predicting underwriting and claims risks with greater accuracy, as well as reducing quote turnaround times and claim expenses through intelligent automation.
Gradient AI
Gradient AI is a leading provider of artificial intelligence solutions for the insurance industry. Its solutions improve loss ratios and profitability by predicting underwriting and claims risks with greater accuracy, as well as reducing quote turnaround times and claim expenses through intelligent automation.
EvenUp
EvenUp is a Claims Intelligence Platform that leverages AI technology to transform medical documents and case files into AI-driven demand packages for personal injury lawyers. The platform provides rich insights, AI workflow automation, and best-in-class document creation to help injury lawyers claim bigger and settle faster. EvenUp's team of injury experts use AI to craft demand packages, freeing up time for case managers and attorneys to focus on case strategy. The platform is designed to consistently settle for more, resolve cases faster, and save time for legal professionals. EvenUp is SOC2 certified, ensuring top-tier security standards and client privacy.
CARCO
CARCO is an advanced Mobile AI Fraud Prevention application designed to protect insurance carriers and consumers by identifying and preventing risk events and fraudulent activities. The application streamlines the inspection process through integrated AI and fraud alert validation technology, providing a back-office solution that is easily integrated into mobile platforms, cost-effective, and fraud-detecting. CARCO also offers NMVTIS, a premier system in the U.S. that requires reporting of vehicle title data. With over 50 million transactions completed to date, CARCO has a proven track record in fraud prevention and risk mitigation for the insurance industry.
Wisedocs
Wisedocs is an AI-powered platform that specializes in medical record reviews, summaries, and insights for claims processing. The platform offers intelligent features such as medical chronologies, workflows, deduplication, intelligent OCR, and insights summaries. Wisedocs streamlines the process of reviewing medical records for insurance, legal, and independent medical evaluation firms, providing speed, accuracy, and efficiency in claims processing. The platform automates tasks that were previously laborious and error-prone, making it a valuable tool for industries dealing with complex medical records.
Novo AI
Novo AI is an AI application that empowers financial institutions by leveraging Generative AI and Large Language Models to streamline operations, maximize insights, and automate processes like claims processing and customer support traditionally handled by humans. The application helps insurance companies understand claim documents, automate claims processing, optimize pricing strategies, and improve customer satisfaction. For banks, Novo AI automates document processing across multiple languages and simplifies adverse media screenings through efficient research on live internet data.
Peslac
Peslac is a leading insurance solution provider in Africa, offering innovative and reliable insurance technology to reshape the insurance landscape. With a focus on streamlining processes, improving customer experiences, and combating insurance fraud, Peslac empowers businesses with comprehensive solutions tailored to meet the evolving needs of the insurance industry. From InsurSphere for insurance distribution to Auto for motor claims and Medical for medical claims processing, Peslac leverages advanced technology and skilled professionals to drive efficiency and productivity in the insurance sector.
expert.ai
expert.ai is an AI platform that offers natural language technologies and responsible AI integrations across various industries such as insurance, banking, publishing, and more. The platform helps streamline operations, extract critical data, drive revelations, ensure compliance, and analyze complex documents. It provides solutions for insurers, pharmaceuticals, publishers, and financial services companies, leveraging a hybrid AI approach and purpose-built natural language workflow. expert.ai's Green Glass Approach focuses on transparent, sustainable, practical, and human-centered AI solutions.
CaseYak
CaseYak is an AI-powered platform that uses artificial intelligence to estimate the value of personal injury claims. By comparing user inputs to ten years of historical jury verdict data, CaseYak's AI Case Calculator provides a projected claim value for motor vehicle accident cases. The platform aims to offer an objective and data-driven prediction to help individuals seeking legal recourse after being injured in a car accident. Additionally, CaseYak provides information on how a personal injury attorney can assist in handling the claim process.
Arya.ai
Arya.ai is an AI tool designed for Banks, Insurers, and Financial Services to deploy safe, responsible, and auditable AI applications. It offers a range of AI Apps, ML Observability Tools, and a Decisioning Platform. Arya.ai provides curated APIs, ML explainability, monitoring, and audit capabilities. The platform includes task-specific AI models for autonomous underwriting, claims processing, fraud monitoring, and more. Arya.ai aims to facilitate the rapid deployment and scaling of AI applications while ensuring institution-wide adoption of responsible AI practices.
AKASA
AKASA is a healthcare revenue cycle management company that uses generative AI (GenAI) to improve the revenue cycle for healthcare providers. AKASA's GenAI-powered platform and solutions help healthcare providers reduce denials, improve margins, and increase revenue. AKASA's platform includes solutions for authorization management, claim status, and claim attachment. AKASA's GenAI is trained on clinical and financial data and is optimized for healthcare. AKASA's clients include over 475 hospitals and 6,500 outpatient facilities across all 50 states.
Neota
Neota is a no-code development platform that empowers individuals to build bespoke solutions without writing a single line of code. It offers a wide range of capabilities and features to streamline processes, automate documents, and accelerate time-to-market. Neota integrates seamlessly with existing tools, provides visually stunning user experiences, and ensures security with international certifications. The platform harnesses AI for practical business automation solutions and caters to various roles like Legal Operations, Insurance, and Human Resources. Neota is trusted globally and has a decade of experience in supporting teams to accomplish more with less.
InsightPro
InsightPro is a workforce analytics platform specifically designed for healthcare payers. It integrates claims processing, quality assurance, training, and contact center functionalities, all powered by AI and machine learning. The platform offers capabilities such as dashboards, team productivity, workforce optimization, workload management, workforce access, real-time monitoring, and training management. InsightPro aims to improve operational efficiencies, reduce costs, enhance workforce planning, and foster team collaboration within payer organizations.
Wolters Kluwer ELM Solutions
Wolters Kluwer ELM Solutions is a leading provider of enterprise legal spend and matter management, AI legal bill review, and legal analytics solutions. Our innovative technology and end-to-end customer experience help corporate legal and insurance claims departments drive world-class business outcomes.
NPI Lookup
NPI Lookup is an AI-powered platform that offers advanced search and validation services for National Provider Identifier (NPI) numbers of healthcare providers in the United States. The tool uses cutting-edge artificial intelligence technology, including Natural Language Processing (NLP) algorithms and GPT models, to provide comprehensive insights and answers related to NPI profiles. It allows users to search and validate NPI records of doctors, hospitals, and other healthcare providers using everyday language queries, ensuring accurate and up-to-date information from the NPPES NPI database.
Further AI
Further AI is an AI application designed to revolutionize insurance operations by providing AI Teammates for various tasks such as quote generation, policy checking, and renewal follow-ups. The platform aims to enhance efficiency, reduce errors, and automate repetitive tasks in the insurance industry. Further AI offers innovative solutions for insurance brokers, general agents, and insurers, allowing them to scale their business without the need for additional hiring. By leveraging AI technology, users can streamline workflows, automate client calls, navigate portals, and extract data from complex documents with ease and accuracy.
Veryfi
Veryfi is an OCR API tool for invoice and receipt data extraction. It offers fast, accurate, and secure document capture and data extraction on any type of document. Veryfi empowers users to process documents efficiently, automate manual data entry, and implement AI into various business processes. The tool is designed to streamline workflows, enhance accuracy, and unlock new levels of efficiency across industries such as finance, insurance, and more.
super.AI
Super.AI provides Intelligent Document Processing (IDP) solutions powered by Large Language Models (LLMs) and human-in-the-loop (HITL) capabilities. It automates document processing tasks such as data extraction, classification, and redaction, enabling businesses to streamline their workflows and improve accuracy. Super.AI's platform leverages cutting-edge AI models from providers like Amazon, Google, and OpenAI to handle complex documents, ensuring high-quality outputs. With its focus on accuracy, flexibility, and scalability, Super.AI caters to various industries, including financial services, insurance, logistics, and healthcare.
20 - Open Source Tools
ChatAFL
ChatAFL is a protocol fuzzer guided by large language models (LLMs) that extracts machine-readable grammar for protocol mutation, increases message diversity, and breaks coverage plateaus. It integrates with ProfuzzBench for stateful fuzzing of network protocols, providing smooth integration. The artifact includes modified versions of AFLNet and ProfuzzBench, source code for ChatAFL with proposed strategies, and scripts for setup, execution, analysis, and cleanup. Users can analyze data, construct plots, examine LLM-generated grammars, enriched seeds, and state-stall responses, and reproduce results with downsized experiments. Customization options include modifying fuzzers, tuning parameters, adding new subjects, troubleshooting, and working on GPT-4. Limitations include interaction with OpenAI's Large Language Models and a hard limit of 150,000 tokens per minute.
chatgpt-universe
ChatGPT is a large language model that can generate human-like text, translate languages, write different kinds of creative content, and answer your questions in a conversational way. It is trained on a massive amount of text data, and it is able to understand and respond to a wide range of natural language prompts. Here are 5 jobs suitable for this tool, in lowercase letters: 1. content writer 2. chatbot assistant 3. language translator 4. creative writer 5. researcher
WritingAIPaper
WritingAIPaper is a comprehensive guide for beginners on crafting AI conference papers. It covers topics like paper structure, core ideas, framework construction, result analysis, and introduction writing. The guide aims to help novices navigate the complexities of academic writing and contribute to the field with clarity and confidence. It also provides tips on readability improvement, logical strength, defensibility, confusion time reduction, and information density increase. The appendix includes sections on AI paper production, a checklist for final hours, common negative review comments, and advice on dealing with paper rejection.
mountain-goap
Mountain GOAP is a generic C# GOAP (Goal Oriented Action Planning) library for creating AI agents in games. It favors composition over inheritance, supports multiple weighted goals, and uses A* pathfinding to plan paths through sequential actions. The library includes concepts like agents, goals, actions, sensors, permutation selectors, cost callbacks, state mutators, state checkers, and a logger. It also features event handling for agent planning and execution. The project structure includes examples, API documentation, and internal classes for planning and execution.
OpenFactVerification
Loki is an open-source tool designed to automate the process of verifying the factuality of information. It provides a comprehensive pipeline for dissecting long texts into individual claims, assessing their worthiness for verification, generating queries for evidence search, crawling for evidence, and ultimately verifying the claims. This tool is especially useful for journalists, researchers, and anyone interested in the factuality of information.
MiniCheck
MiniCheck is an efficient fact-checking tool designed to verify claims against grounding documents using large language models. It provides a sentence-level fact-checking model that can be used to evaluate the consistency of claims with the provided documents. MiniCheck offers different models, including Bespoke-MiniCheck-7B, which is the state-of-the-art and commercially usable. The tool enables users to fact-check multi-sentence claims by breaking them down into individual sentences for optimal performance. It also supports automatic prefix caching for faster inference when repeatedly fact-checking the same document with different claims.
Build-Modern-AI-Apps
This repository serves as a hub for Microsoft Official Build & Modernize AI Applications reference solutions and content. It provides access to projects demonstrating how to build Generative AI applications using Azure services like Azure OpenAI, Azure Container Apps, Azure Kubernetes, and Azure Cosmos DB. The solutions include Vector Search & AI Assistant, Real-Time Payment and Transaction Processing, and Medical Claims Processing. Additionally, there are workshops like the Intelligent App Workshop for Microsoft Copilot Stack, focusing on infusing intelligence into traditional software systems using foundation models and design thinking.
aws-ai-intelligent-document-processing
This repository is part of Intelligent Document Processing with AWS AI Services workshop. It aims to automate the extraction of information from complex content in various document formats such as insurance claims, mortgages, healthcare claims, contracts, and legal contracts using AWS Machine Learning services like Amazon Textract and Amazon Comprehend. The repository provides hands-on labs to familiarize users with these AI services and build solutions to automate business processes that rely on manual inputs and intervention across different file types and formats.
LLM-for-misinformation-research
LLM-for-misinformation-research is a curated paper list of misinformation research using large language models (LLMs). The repository covers methods for detection and verification, tools for fact-checking complex claims, decision-making and explanation, claim matching, post-hoc explanation generation, and other tasks related to combating misinformation. It includes papers on fake news detection, rumor detection, fact verification, and more, showcasing the application of LLMs in various aspects of misinformation research.
call-center-ai
Call Center AI is an AI-powered call center solution that leverages Azure and OpenAI GPT. It is a proof of concept demonstrating the integration of Azure Communication Services, Azure Cognitive Services, and Azure OpenAI to build an automated call center solution. The project showcases features like accessing claims on a public website, customer conversation history, language change during conversation, bot interaction via phone number, multiple voice tones, lexicon understanding, todo list creation, customizable prompts, content filtering, GPT-4 Turbo for customer requests, specific data schema for claims, documentation database access, SMS report sending, conversation resumption, and more. The system architecture includes components like RAG AI Search, SMS gateway, call gateway, moderation, Cosmos DB, event broker, GPT-4 Turbo, Redis cache, translation service, and more. The tool can be deployed remotely using GitHub Actions and locally with prerequisites like Azure environment setup, configuration file creation, and resource hosting. Advanced usage includes custom training data with AI Search, prompt customization, language customization, moderation level customization, claim data schema customization, OpenAI compatible model usage for the LLM, and Twilio integration for SMS.
awesome-llm-attributions
This repository focuses on unraveling the sources that large language models tap into for attribution or citation. It delves into the origins of facts, their utilization by the models, the efficacy of attribution methodologies, and challenges tied to ambiguous knowledge reservoirs, biases, and pitfalls of excessive attribution.
fabric
Fabric is an open-source framework for augmenting humans using AI. It provides a structured approach to breaking down problems into individual components and applying AI to them one at a time. Fabric includes a collection of pre-defined Patterns (prompts) that can be used for a variety of tasks, such as extracting the most interesting parts of YouTube videos and podcasts, writing essays, summarizing academic papers, creating AI art prompts, and more. Users can also create their own custom Patterns. Fabric is designed to be easy to use, with a command-line interface and a variety of helper apps. It is also extensible, allowing users to integrate it with their own AI applications and infrastructure.
claim-ai-phone-bot
AI-powered call center solution with Azure and OpenAI GPT. The bot can answer calls, understand the customer's request, and provide relevant information or assistance. It can also create a todo list of tasks to complete the claim, and send a report after the call. The bot is customizable, and can be used in multiple languages.
awesome-generative-information-retrieval
This repository contains a curated list of resources on generative information retrieval, including research papers, datasets, tools, and applications. Generative information retrieval is a subfield of information retrieval that uses generative models to generate new documents or passages of text that are relevant to a given query. This can be useful for a variety of tasks, such as question answering, summarization, and document generation. The resources in this repository are intended to help researchers and practitioners stay up-to-date on the latest advances in generative information retrieval.
RWKV-Runner
RWKV Runner is a project designed to simplify the usage of large language models by automating various processes. It provides a lightweight executable program and is compatible with the OpenAI API. Users can deploy the backend on a server and use the program as a client. The project offers features like model management, VRAM configurations, user-friendly chat interface, WebUI option, parameter configuration, model conversion tool, download management, LoRA Finetune, and multilingual localization. It can be used for various tasks such as chat, completion, composition, and model inspection.
ais-k8s
AIStore on Kubernetes is a toolkit for deploying a lightweight, scalable object storage solution designed for AI applications in a Kubernetes environment. It includes documentation, Ansible playbooks, Kubernetes operator, Helm charts, and Terraform definitions for deployment on public cloud platforms. The system overview shows deployment across nodes with proxy and target pods utilizing Persistent Volumes. The AIStore Operator automates cluster management tasks. The repository focuses on production deployments but offers different deployment options. Thorough planning and configuration decisions are essential for successful multi-node deployment. The AIStore Operator simplifies tasks like starting, deploying, adjusting size, and updating AIStore resources within Kubernetes.
aiogram-django-template
Aiogram & Django API Template is a robust and secure Django template with advanced features like Docker integration, Celery for asynchronous tasks, Sentry for error tracking, Django Rest Framework for building APIs, and more. It provides scalability options, up-to-date dependencies, and integration with AWS S3 for storage. The template includes configuration guides for secrets, ports, performance tuning, application settings, CORS and CSRF settings, and database configuration. Security, scalability, and monitoring are emphasized for efficient Django API development.
ai-dial-core
AI DIAL Core is an HTTP Proxy that provides a unified API to different chat completion and embedding models, assistants, and applications. It is written in Java 17 and built on Eclipse Vert.x. The core functionality includes handling static and dynamic settings, deployment on Kubernetes using Helm charts, and storing user data in Blob Storage and Redis. It supports various identity providers, storage providers like AWS S3, Google Cloud Storage, and Azure Blob Store, and features like AI DIAL Addons, Interceptors, Assistants, Applications, and Models with customizable parameters and configurations.
20 - OpenAI Gpts
VA Claims Navigator
Guide for VA Claims, using M21-1, Clinicians Guide C&P, CFRs, VHA Handbook, VA Dental, M28R, 38 CFR Part 21.
Help-A-Vet
Guiding veterans on PACT Act benefits, VA healthcare, military justice, and education, tailored for veterans and their families.
VA Compensation GPT
Guide on veterans' affairs, focusing on compensation and benefits with updated 38 CFR Part 4.
Claims Brother
Chat with your new personal insurance and claims assistant - you will only need to upload your insurance policy and he will tell you if you are covered for a specific event
Veteran's Aid Assistant
Empathetic guide for VA claims, offering precise, reliable assistance.
LogiCheck
Identify key claims and sniff past the BS with your personal AI Logic Checker and Fallacy Expert.
Eco Audit
Highlights ambiguities in environmental claims, suggesting further investigation.
ECO-E
Ecommerce Content Enhancer. Creates realistic backgrounds, product descriptions, claims, and keywords for your products.
AnalyzePaper
Takes in a research paper or article, analyzes its claims, study quality, and results confidence and provides an easy to understand summary.
Michigan No-Fault Law Guide
Advanced guide on Michigan no-fault law, with updated legal data.
AI and Insurance Strategy Consultant
Formal yet witty AI & Insurance expert. Powered by Breebs (www.breebs.com)