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European Health Insurer
Health Insurance · 200,000+ claims/year

European Health Insurer Reduces Handling Costs by 71%

MIRAContextBuilderClaimEval
12 weeks phased rollout
71%
Cost Reduction
handling costs
65%
Touchless Rate
fully automated
99.2%
Accuracy
decision accuracy
2.3%
Leakage Found
identified

The Challenge

High volume of routine claims requiring manual review, leading to significant handling costs and delayed customer payouts.

The Solution

Implemented full True Aim stack: ContextBuilder for medical document processing, MIRA for coverage decisions and ClaimEval for quality assurance.

ClaimEval alone paid for the entire implementation by identifying leakage we didn't know existed.
CFO
European Health Insurer

Key Highlights

  • Deployed across 3 countries
  • Multi-language document support
  • 100% QA coverage vs 5% sampling
  • Significant fraud detection improvement

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