AI-assisted Claims Data Extraction and Workflow Automation

Combining machine vision, NLP, and RPA to automate multi-source healthcare claims intake.

Executive Summary

This project revolved around developing an AI and RPA powered automation solution to simplify the extraction and validation of data from healthcare release-of-information (ROI) request forms arriving via multiple channels. Our team of experts developed a comprehensive system that uses OCR and machine vision plus NLP and rule-based extraction to populate structured data, which a human operator then verifies before automated submission to downstream claim systems.

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We also implemented RPA systematically where components orchestrate logging, assignment, and API-based updates, delivering large productivity gains at scale. We developed the web version of the application leveraging AI, ML and NLP in a mainstream manner. The project took 15 months to build end to end.

About the Client

Our client works in the healthcare insurance industry and wanted to build a custom platform driven by AI that can streamline the extraction and validation of data from healthcare forms arriving via multiple channels. He wanted to create a synchronized system that can handle large volumes of requests efficiently and must leverage AI and ML techniques to improve productivity and efficiency.

He wanted to replace manual data entry from scanned documents, faxes, and emails with AI-driven extraction and semi-automated workflows. Once he came in touch with the ChromeInfotech team, we helped him develop the complete roadmap to bring his idea to real life products.

Client Location

Canada

Industry

Healthcare

Technologies

Frontend: HTML, CSS, JavaScript, jQuery, Vue JS
Backend: Python, Django, GraphQL APIs, REST services, Azure AI
Database: Azure SQL
Cloud: Azure (AKS, ACR, Key Vault)
Others: GitLab, Slack, Jira, Docker, Kubernetes, Google Vision, Amazon Textract, Azure Form Recognizer, custom rules / NLP for extraction, RPA-style automation for logging and assignment workflows

Client Testimonials

"This company provides exceptional service, showcasing expertise, adaptability, and a strong commitment to quality."

"They’ve been impressive at scaling up or down, which has been truly helpful over the years."

"Once we give them a job and time frame, they meet it, and the results are quite astonishing."

"The project management is highly effective."