Reducing reimbursement turnaround through intelligent adjudication.

The Summary

Kamios orchestrated the entire reimbursement workflow, automating document extraction, categorization, reconciliation, and NIGO management while ensuring adjudicators remained responsible for complex decisions and exceptions.

The customer wanted to reduce claim turnaround times while improving adjudicator productivity. Health reimbursement claims required extensive manual effort to categorize expenses, reconcile invoices, identify missing information, and prepare claims for adjudication.