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What is Qantev?

An automated claims management system that functions smoothly from beginning to end, utilizing AI-based decision frameworks for various tasks including data gathering, verification of policies and coverage details, medical coding, and evaluations of consistency. Our sophisticated AI frameworks aim to reduce losses and improve your loss ratios by proficiently identifying instances of fraud, waste, and abuse in both health and life insurance domains. Qantev supports insurance providers worldwide by enhancing operational efficiency, reducing losses, and boosting customer satisfaction. By fusing artificial intelligence with extensive medical expertise, our committed group of data scientists and engineers has developed innovative solutions that optimize the claims management process while uncovering fraudulent activities. Our specialized AI tools excel at capturing, cleaning, enhancing, and digitizing information from a wide range of claims documents in various languages. Furthermore, we enhance the efficacy of your medical provider network through automated insights, pinpointing pricing disparities, suggesting strategies, simulating various scenarios, and much more to improve outcomes. This comprehensive strategy guarantees that insurers not only handle claims efficiently but also proactively mitigate potential challenges before they emerge, ensuring a robust insurance framework. Ultimately, our dedication to innovation drives the future of claims processing, setting new standards for excellence in the industry.

What is Brighterion?

For more than twenty years, Brighterion has significantly reshaped the field of artificial intelligence. Our cutting-edge AI solutions adeptly address challenges such as payment and acquirer fraud, reduce credit risk and delinquency, and prevent healthcare fraud, waste, and abuse, among other advantages. With exceptional scalability, your growth potential remains limitless. In addition to this, our models offer robust personalization, ensuring they are specifically tailored to meet your unique business goals. You can harness the power of Brighterion AI in a mere 6-8 weeks through our AI Express program. We understand that the idea of advanced AI can appear intimidating, particularly when moving away from traditional rules-based systems to a new framework. Imagine if the perceived uncertainties were eased, allowing you to test your custom model within that same 6-8 week timeframe. Prepare for deployment by experiencing firsthand the impressive return on investment and the enhanced performance of AI models over traditional rules. Utilize the revolutionary capabilities of AI to effectively reduce transaction-level fraud and merchant risk, ensuring that instances of fraud, waste, and abuse are identified before claims are even processed. This forward-thinking strategy not only enhances security but also promotes greater operational efficiency for businesses, fostering a more reliable environment for growth. Ultimately, embracing AI can lead to a significant competitive edge in today’s fast-paced market.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Qantev

Date Founded

2018

Company Location

France

Company Website

www.qantev.com

Company Facts

Organization Name

Mastercard

Date Founded

1966

Company Location

United States

Company Website

brighterion.com

Categories and Features

Insurance Claims Management

CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting

Categories and Features

Fraud Detection

Access Security Management
Check Fraud Monitoring
Custom Fraud Parameters
For Banking
For Crypto
For Insurance Industry
For eCommerce
Internal Fraud Monitoring
Investigator Notes
Pattern Recognition
Transaction Approval

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