Ping An Health says AI claims agent cut pilot closure times to hours
The Chinese health insurer plans to roll the agent out to more than 11,000 products after a children's medical pilot.
Ping An Health Insurance has launched an AI claims agent that it says cut average closure times from days to hours in a children's medical products pilot, Chinese news site JRJ reported on 19 October.
The AI Claims Expert handles more than 1,000 claims checkpoints. Ping An Health said it combines the knowledge of claims specialists with medical knowledge, business rules and policy terms, and is refined through expert feedback and case reviews.
The agent has two operating modes. It can close claims automatically when documents are complete, information and liability are clear, and quality checks are passed. Ping An Health said accuracy for this route reached 99.7%.
In the children's medical products pilot, the company said the average time between submission and closure fell from days to hours. The fastest claim was closed in three seconds, while claims operations efficiency increased by about 80%.
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Sources
- JRJ: Ping An Health releases claims and specialty disease AI agents (Chinese)
- zglg.work: Ping An Health Insurance launches AI claims and cancer-care agents
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