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PerceptiveAi Compliance Reviewer

AI-powered platform designed to transform organizational operations by automating repetitive tasks, enhancing data analysis, and improving customer and employee interactions. Leveraging Agentic AI and Amazon Bedrock Agents, PerceptiveAI streamlines workflows, reduces operational costs, and delivers secure, efficient, and scalable solutions tailored for healthcare organizations.

Features

  • AI Agents & Automation

    Query Agents
    Provide instant, accurate responses to user inquiries, reducing response times.

    Action Agents
    Automate repetitive administrative tasks such as claims processing, eligibility checks, and report generation.

    Chatbots & Smart Assistants
    Offer 24/7 customer support, guiding users through the DC Health Link platform and resolving issues.

  • Advanced AI-Driven Reporting
    • Automates report generation, reducing manual effort and improving accuracy.
    • Utilizes Retrieval-Augmented Generation (RAG) to fetch relevant data from company sources, ensuring context-aware responses.
  • Eligibility and Enrollment Automation

    AI agents automate eligibility checks, guide users through enrollment, and provide personalized plan recommendations.

  • Claims Processing

    Automates claims routing, verification, and payment processing, reducing manual effort and improving accuracy.

  • Provider Network Management

    Analyzes provider data, identifies network gaps, and proactively recruits providers to ensure adequate access to care.

  • Fraud Detection and Prevention

    Monitors data for potential fraud, waste, and abuse, protecting the integrity of the program

  • Memory Retention & Secure API Integration
    • Agents retain memory for seamless task continuity.
    • Secure API integration ensures data is encrypted and compliant with HIPAA and other regulations.
  • Dashboard & Analytics
    • Provides a comprehensive view of all payments, claims, and transactions.
    • Tracks efficiency improvements and user engagement.
  • Chatbots & Smart Assistants

    Offer 24/7 customer support, guiding users through the platform and resolving issues for organizations.

Benefits

  • Enhanced Efficiency
    • Automates up to 30% of administrative tasks, reducing manual workload and operational costs.
    • Improves response times for customer and employee inquiries by 50%.
  • Improved Accuracy
    • Reduces errors in report generation, claims processing, and eligibility checks.
    • Ensures accurate, context-aware responses through RAG and memory retention.
  • Cost Savings
    • Reduces high operational costs associated with repetitive tasks and manual processes.
    • Minimizes fraud, waste, and abuse through proactive monitoring.
  • Scalability & Flexibility
    • Modular and scalable API ecosystem allows for easy integration with existing systems.
    • Supports future AI models and automation workflows.
  • Enhanced Customer Experience
    • Provides 24/7 customer support through AI-powered chatbots.
    • Offers personalized plan recommendations and guidance for enrollees.
  • Security & Compliance
    • Ensures data security with encryption, role-based access control (RBAC), and compliance with HIPAA and other regulations.
    • Real-time audit logs for API usage to detect anomalies or potential breaches.
  • Faster Deployment

    Pre-built integrations and reusable APIs reduce development time and enable faster AI agent deployment.