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Insurance AI Bridge
Live System Dashboard - Real-time Processing
Avg Processing Time
2.3s
↓ 87% vs manual
Monthly Cost Savings
$28K
67% reduction
Claims Analyzed Today
847
+12% vs yesterday
System Accuracy
98.7%
↑ 2.3% vs manual
System Data Flow - How It Works
1
DATA FETCH
Pull from legacy SQL Server, SOAP APIs, SharePoint
→
2
PII MASKING
Tokenize names, DOB, SSN before LLM processing
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3
AI ANALYSIS
Structured LLM processing with Pydantic validation
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4
RE-HYDRATION
Replace tokens with actual data in secure layer
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5
DISPLAY
Render unified context with AI reasoning
📥 Incoming Data (Raw)
🤖 AI Analysis Output
Claim CLM-2025-45892
95.3% Confidence
Status:
Recommended for Approval
Processing Time:
1.8 seconds
Action:
Approve claim per policy section 3.2.A
Policy Section 3.2.A
Covered procedures include diagnostic imaging when medically necessary and pre-authorized by primary care physician.
Claim CLM-2025-45893
88.1% Confidence
Status:
Requires Human Review
Processing Time:
2.1 seconds
Reason:
Missing pre-authorization documentation
Required Information
• Pre-authorization form from PCP
• Medical necessity documentation
• Prior treatment history
Claim CLM-2025-45894
92.7% Confidence
Status:
Recommended for Denial
Processing Time:
1.9 seconds
Reason:
Service not covered under current plan
Policy Section 5.1.C
Cosmetic procedures are excluded from coverage unless medically necessary for reconstruction following injury or disease.
Monthly Cost Comparison
$40K
Before AI Bridge
18 min/claim average
$12K
After AI Bridge
2 min/claim average