Success Story

Company

A Regional Healthcare Payor with High Denial Rates Leverages Deep Learning-Driven Claims Submission to Reduce CSAT Loss and Streamlining Account Payable Cycles​

Ad Tech company executes Real-Time contextual classification of webpages using multifold classification and interpretation models by leveraging Zimetrics tech-enabled services

Challenges​

  • The average denials rate was up 23% in the previous 3 years. Up to 65% of rejected claims were never resubmitted​
  • 20% claims either had missing mandatory information for payment or incorrect medical coding​
  • Claim Submissions overloaded with irrelevant attachments and dynamic complex layouts of document structure that resulted in SLA non-compliance​

Solution

Intelligent

Data Engineering to pre-process each case for intelligent document indexing, classification and OCR conversion​

Deep Learning​

Models to intelligently extract and interpret data from complex and varied layout documents​

3-way

among claims form, supporting documents and system records, to verify the submissions for duplicity, fraud and payment leakage​

Impact​

20%

Denial Rate Reduction​

50%

Reduction in Average Claims Processing

50%

Efficacy gain with intelligent document processing

Company

Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.

Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.

“We are delighted to be working with XYZ company. They have an extremely interesting business and a ‘can-do’ mindset. In the course of our engagement we’ve met with colleagues across 3 continents, and throughout we have encountered people with very high standards and a real appetite for innovation.“
Cyrus New
Associate Partner, Zimetrics
Cyrus New
“We are delighted to be working with XYZ company. They have an extremely interesting business and a ‘can-do’ mindset. In the course of our engagement we’ve met with colleagues across 3 continents, and throughout we have encountered people with very high standards and a real appetite for innovation.“
Cyrus New
Associate Partner, Zimetrics
Cyrus New
“We are delighted to be working with XYZ company. They have an extremely interesting business and a ‘can-do’ mindset. In the course of our engagement we’ve met with colleagues across 3 continents, and throughout we have encountered people with very high standards and a real appetite for innovation.“
Cyrus New
Associate Partner, Zimetrics
Cyrus New

Challenges

  • Third party cookie collection being phased out by major tech giants, more than 1/3 of audiences are voluntarily declining cookie tracking.
  • Advertisers are mandated to transition from cookie-less targeting to contextual targeting while improving campaign outcomes.

Solutions

Deep Learning

Models to categorize industry and subindustries relevant sections and denoise

Language Models

Interpret the key concepts from tables, graphs images and running texts

Vision Models

For layout interpretation and correlation of objects in the frame of moment captured

Impact / Metrics

90%+

F1 Score Harmonic Mean of Precision and Recall

50%+

Improved Relevancy Relative to Cookies

99.9%+

Realtime Data Exchange

Tech Stack

Group 2275
Group 2276
Group 2277
Group 2278
Group 2279

Getting from a challenge to its solution starts with one click

Gain expertise from Zimetrix worldwide network of experts and find practical solutions to your challenges.

Lets Talk

Patient-Friendly Nerve Simulation Therapy Platform Resolves OAB Challenges with AWS-Based Centralized Logging Solution

8nap AI Empowers Brand Safety Leader to Outperform Competitors, Capturing 2x Performant KPIs and Supporting Multiple Languages

Zimetrics Ensures Market-Ready Medical Device with Secure Boot Implementation, Saving Costs and Time-to-Market.

Healthcare Startup Triumphs in FDA Compliance & Product Launch for Nerve Simulation Therapy Platform​

Scalable Data Pipeline & Dashboard for Medical Device Giant 

Medical Device Giant Implements Patient Outreach Program for Enhanced Patient Care

Scalable Analytics Platform Revolutionizes Medical Device Company

A Global MedTech Company Improved Diabetes Care Outcomes while Enhancing Patient Experience and Reducing Care Delivery Costs​

Ad Tech company executes Real-Time contextual classification of webpages using multifold classification and interpretation models by leveraging Zimetrics tech-enabled services​

A Regional Healthcare Payor with High Denial Rates Leverages Deep Learning-Driven Claims Submission to Reduce CSAT Loss and Streamlining Account Payable Cycles​

Services you can Discover

  • Data Architecture & Integration
  • Data Security & Compliance
  • Data Platform Engineering