Health Insurance is Becoming Value Based | Precise | Competitive | Data Driven
We apply AI models to your organization’s claims data to improve decision-making without disrupting existing processes.
Why Build AI With Us
AI should work for you. Don’t reinvent the wheel.
Paid claims analyzed
Patient events analyzed in 2018
Our artificial intelligence platform is designed specifically for health insurance claims data.
Applied to your established processes.
Audit and investigation
Design higher impact coverage and prior authorization policies with advanced population-level models.
Customize prescription utilization based on previous trends and predicted outcomes.
Manage risk more proactively by accuratly predicting future events for high risk patients.
Population health analysis
Precise predictions for decision-makers built on millions of patient years in data.
Our AI models in audit and investigation have the potential to increase both the precision of traditional systems by greater than 35% and the expected value per audit by greater than 13%.
Similarly, our risk adjustment models have an average of 25% improvement over current practices when identifying missing member information, incorrectly scored member risk, and disease group identification. Our models on average identify an average potential savings of $14 million per 1 million covered members.
potential performance improvement over traditional detection systems.
In potential savings per 1 million covered lives.
How It Works
1. Identify Organization’s Pain Points
2. Locate Minimal Viable Dataset For Your Organization
3. Analyze data
4. Store Model in Our Secure Locker
5. Capture Value from Models
6. Track Results
PrecisionGx Inc. – 1604 Locust St., 2nd Floor, Philadelphia, PA