SimplifyX AI Solutions
By StudioAI Inc.
- Rating
- Not rated yet
- Reviews
- No reviews yet
- Pricing
- Paid
- From $96,000 per starting at per year
- Listed since
- 2024
About SimplifyX AI Solutions
Industry Specific AI Solutions for Health Insurance (Payer) Industry
Virtical adopted a specialized approach to industries, utilizing focused methods to apply AI and ML to specific enterprise use cases such as Plan Comparison, Renewal Plan Recommendation, Member Services, Network Adequacy, Streamline Underwriting, Evidence Based Guidelines, Care Gaps Recommendation, Coding Accuracy, Clinical Decision Support, Procedure Validation etc. We curate smaller, customized industry-specific models that seamlessly integrate with and remain contained within customer’s existing data environment.
By collaborating with Virtical, our clients can effectively tackle the constraints of their CRM system in a secure and confident manner. Virtical's approach is specifically tailored for payers, as we enable them to maintain full control over their valuable data and sensitive business information.
Highlights
- The AI model has been extensively trained with payer data and documents from US health plans, allowing it to recognize and understand industry-specific terms, data fields, formats, and structures.
- The AI model is designed to analyze the network composition of health plans, checking for adequacy in terms of service offerings, provider availability, and locations. This helps members find health plans that offer comprehensive healthcare access.
- The AI algorithms use member data to streamline the underwriting process, improving underwriting speed, accuracy, and transparency. This leads to better risk management and quicker policy issuance.
- By leveraging the power of AI for data extraction and analysis, brokers and end users gain a competitive advantage and can provide their clients with faster, more accurate, and personalized quotes.
Screenshots
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Pricing
Paid, from $96,000 per starting at per year.
| Plan | Price | Billed |
|---|---|---|
| Census Intake | $96,000 per starting at | Yearly |
| Plan Comparison | $96,000 per starting at | Yearly |
| Plan Insights | $96,000 per starting at | Yearly |
| Geo Access | $96,000 per starting at | Yearly |
| Network Insights | $96,000 per starting at | Yearly |
Compatibility
- Works with
- Sales Cloud
- CDP
- Health Cloud
- Requires
- Sales Cloud
- Service Cloud
- CDP
- Health Cloud
- Salesforce editions
- Essentials
- Professional
- Enterprise
- Unlimited
- Performance
- Developer
- Lightning Experience
- Supported
- Salesforce mobile app
- Not supported
- Salesforce security review
- Passed on April 8, 2024
- Industries
- Healthcare & Life Sciences
- Languages
- English