- 50% higher detection rate
- Real time risk scoring
- Self-development intelligence
Increase your fraud detection by 50%
Do not let fraud be paid out.
50% higher detection rate
RiSIC uses machine learning engine that detects 50% more of fraudulent behavioral patterns. Rule based system doesn’t catch all fraudulent claims (either one member or one transaction), and RiSIC detects abuse hidden in the volume of data.
Real time risk scoring
RiSIC analyses claims before decisions are made and flags up unexpected outcomes for human intervention – helping insurance providers clamp down on waste, fraud and abuse as they occur.
Self-development intelligence
Unlike static rules-based engines, RiSIC uses Machine Learning algorithms to learn and improve continuously. Each doctor’s prognosis and claims processor decision makes the system more accurate – making it more efficient at streamlining your costs.
We use state-of-the-art data science for fraud detection. Learn how we add more power to conventional anomaly detection and rule-based methods.
Automate claims processing & reporting
Enjoy the benefits of accuracy and costs optimization.
RiSIC leverages Machine Learning to automate claims processing to bring:
- 50% faster & more accurate claims processing
- 30% higher cost optimization
- Improved customer experience and satisfaction
increase the efficiency in claims processing
increase the accuracy in claims processing
reduce labor costs invested into processing claims
Give new life to your claims processing!
“After we started using RiSIC our denial rate increased by 5%”
– Head of claims at an insurance company
Reap the benefits of Low loss ratio and high denial rate
RiSIC automatically categorizes risk scoring into low, medium and high risk claims. It lets you process claims faster and deny more fraudulent claims.
save costs and reduce payment of fraudulent claims
automatically categorize your risk scoring into low, medium and high risk claims
process high-risk claims faster
reduce the manual labor
evaluate and compare the effectiveness of your TPAs
better provider and network risk management
See how ML is helping insurance companies power their profits!
“By focusing only on high risk claims you can pay out real claims to real patients 23% faster!”
– Claims processor at a health insurance company.
Create healthcare that cares
Make patients feel taken care of.
RiSIC does not just help insurance providers. By stamping out waste, abuse and fraud, it helps lower insurance premiums to the benefit of patients and employers. It also helps hospitals and healthcare providers identify wasteful procedures to deliver more effective healthcare. On a population level, it supports the health system by contributing to the management of the medical inflation.
Join us in our effort to create healthcare that cares!