2024-08-13
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Recently, Unisound announced that it has successfully helped PICC Property and Casualty Insurance complete the nationwide deployment of the AI medical review system for claims risk control. This important milestone marks that Unisound's deep technical accumulation in the field of smart healthcare and its deep insight into the needs of the insurance industry have been fully verified, bringing significant optimization and risk control enhancement to the insurance industry's claims process.
Traditionally, the interpretation of medical documents in the insurance claims process has always been an arduous task, which mainly relies on manual work. However, this method is limited by the auditor's personal experience and knowledge level, which can easily lead to subjectivity in the audit results and inconsistency in the judgment criteria, and even the risk of omissions and deviations. At the same time, the high cost of manual audits also forces insurance companies to balance the cost of audits with comprehensiveness. Although a few companies have tried to use rule combing to allow machines to perform batch processing, the audit effect has been limited due to the complexity and diversity of medical documents.