Enhance efficiency with AI to give staff more time to focus on high-value tasks

Kyndryl worked with a large payer organization to help reduce manual processes and improve their ability to identify leakage, fraud, waste, and abuse.

how we helped

01

Incorporated AI into post-adjudication operations, which dramatically improved the speed, accuracy, and effectiveness of claims reviews.

Supported business continuity

Helped enable minimal disruption to existing claims processes

Adopted a modular approach

Compartmentalized impact and allowed for expansion

Increased implementation speed

Supported the delivery of almost immediate, measurable results

02

Demonstrated results and built additional use cases to create robust and configurable solutions.

Improved auto-adjudication rates

Deployed capabilities at the initial stage of the claims process

Sustained service quality

Maintained existing service levels while continually improving and tuning the solution

Delivered real-time improvements

Measured results and re-calibrated for improvements in real-time

03

Constructed resilient, scalable and reliable capabilities that leveraged AI and allowed associates more time to focus on complex tasks.

Leveraged AI

Integrated advanced AI into core payer systems to improve claims processing and automation and allowed staff to focus on high-value tasks

Applied governance models

Helped enable reliable outcomes and mitigated risks by leveraging proven governance models

Reduced costs

Improved accuracy and completeness of claims reviews and provided immediate and long-term cost savings

Customer use cases

Learn more about our Healthcare customers

Ensure long-term stability and minimize operational inefficiencies

Kyndryl helped a large healthcare payer organization manage their core infrastructure that supported over 100 million members.

Mainframe Modernization

Kyndryl Bridge

Investor Relations

Sustainability