How to Use AI to Extract Data from Claim Submissions at Scale

Health insurance companies face significant challenges in processing claim documents due to the complexity of extracting data from diverse formats such as PDFs and scanned documents, which is often time-consuming and prone to errors. Large Language Models (LLMs) offer a transformative solution by automating the extraction and validation of key fields from complex, unstructured documents, enabling faster and more accurate claims processing. Reducto, an AI-powered document processing platform, utilizes advanced vision models and LLMs to improve data extraction accuracy by up to 20%, allowing insurance providers to focus on high-value activities like decision-making and patient support. It efficiently handles various claim form challenges, such as messy handwriting and complex layouts, by preserving the original document structure and using targeted pipelines to deliver structured data ready for indexing and querying. This approach reduces manual effort, enhances efficiency, and ensures reliable document ingestion and processing for health insurance claims.