Qantev : Leading AI Claims Platform for Health & Life Insurance

Qantev revolutionizes claims management for health and life insurers with AI-driven solutions. Its platform automates end-to-end claims operations, detects fraud, and enhances data quality, enabling insurers to reduce costs, improve loss ratios, and elevate customer satisfaction. Trusted by over 20 global insurers, Qantev sets a new standard in claims efficiency and network management.

What are the main features of Qantev?

Automated Claims Management

Qantev streamlines the entire claims process with AI decision models, reducing manual intervention.

• Automated data acquisition and policy checks
• Medical coding and consistency verification
• Achieves 75% straight-through processing

Fraud, Waste & Abuse Detection

Detect and mitigate fraud with specialized AI models tailored for health and life insurance.

• High accuracy in identifying fraud, waste, and abuse
• 72% detection hit rate and 35% efficiency boost for Special Investigation Units (SIUs)
• Helps insurers protect their bottom line

OCR & Data Acquisition

Advanced AI tools capture and digitize data from various claims documents with high accuracy.

• 99% OCR accuracy for printed documents, 90% for handwritten
• Contextual AI enriches and cleans data, improving efficiency by 85%
• Supports multiple languages for global applicability

Network Management

Optimize medical provider networks with AI-driven insights and recommendations.

• Automated detection of pricing gaps and abnormal procedures
• Reduces claims costs by 8% and abnormal procedures by 34%
• Enhances overall network performance

Proven Performance and Rapid Deployment

Qantev delivers significant ROI with quick deployment and scalable solutions.

• Achieves 3-6x ROI within the first year of adoption
• Reduces total claims costs by 10%
• Deployment within 4 to 6 months, ensuring fast integration into existing ecosystems

Qantev combines advanced AI technology with healthcare expertise to offer insurers a transformative approach to claims management, fraud detection, and operational efficiency.