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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 NEMESIS?

NEMESIS is a cutting-edge AI-powered technology designed for anomaly detection, focusing specifically on uncovering fraud and inefficiencies. This innovative platform not only uncovers avenues for enhanced efficiency in your business management systems but also functions as a tailored enterprise solution that empowers business analysts to swiftly transform data into actionable insights. By leveraging artificial intelligence, NEMESIS tackles various challenges such as excessive staffing, inaccuracies in medical records, quality of care issues, and fraudulent claims. Its continuous monitoring capabilities reveal a spectrum of risks, from proactively identifying quality-related concerns to exposing areas of waste and misuse. Through the application of machine learning and AI, it adeptly identifies fraudulent behaviors and schemes before they can adversely affect your financial standing. Moreover, NEMESIS fortifies your capability to oversee spending and recognize budget variances, thereby maintaining a clear line of sight into waste and misuse. This holistic approach not only boosts operational efficiency but also cultivates a financial environment marked by greater accountability and transparency. In doing so, it positions your organization for sustainable growth and enhanced decision-making capabilities.

Media

Media

Integrations Supported

Amazon Web Services (AWS)
IBM Cloud
Microsoft Azure

Integrations Supported

Amazon Web Services (AWS)
IBM Cloud
Microsoft Azure

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

Aviana

Date Founded

1994

Company Location

United States

Company Website

nemesisbyaviana.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

Data Analysis

Data Discovery
Data Visualization
High Volume Processing
Predictive Analytics
Regression Analysis
Sentiment Analysis
Statistical Modeling
Text Analytics

Financial Risk Management

Compliance Management
Credit Risk Management
For Hedge Funds
Liquidity Analysis
Loan Portfolio Management
Market Risk Management
Operational Risk Management
Portfolio Management
Portfolio Modeling
Risk Analytics Benchmarks
Stress Tests
Value At Risk Calculation

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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