ICICI Lombard Launches India’s First AI To Automate Health Insurance Claims

ICICI Lombard General Insurance has used artificial intelligence to provide instant health insurance claim approval. Reportedly, the system can scan the documents sent by the hospital and match them with the medical coverage.

Earlier, this was a cumbersome process involving many persons:


Sign up for your weekly dose of what's up in emerging technology.
  • Doctors looked at the cases
  • Executives entered the data and balance
  • Checking the balance sum insured
  • Going through the room rent limits for the insured

This entire process would take over 60 minutes.

Now, because of this new AI-powered system aided by OCR, the process can be carried out in just one minute.

Download our Mobile App

As of now, ICICI Lombard General Insurance is using AI for cataract, maternity, appendicitis, haemodialysis and hysterectomy. The company is now looking forward to expanding it to more sectors.

Speaking to one of the leading newspapers, ICICI Lombard executive director Sanjeev Mantri said, “So far, AI has only been used in terms of chatbots doing simplistic service request. Understanding medical diagnosis is a much complex activity for which we have deployed AI technology. With AI over the medical admissibility decisions currently done by doctors, it will enable our doctors to focus on more complex jobs, including better fraud detection.”

According to Mantri, the system is already up and running successfully. Using this system, he mentioned a case where they had sent a sanction to a patient in Visakhapatnam. He said that the patient was admitted to the hospital for an operation of appendicitis at 08:15 pm. The hospital used the online portal to submit the cashless request at 08:35 pm and the sanction was sent at 08:36 pm. So, the whole process of scrutinising was brought down drastically.

The system does not work in case of a failure of the proposal acceptance. In such a case, an alert is received, and the papers are checked manually.

More Great AIM Stories

Disha Misal
Found a way to Data Science and AI though her fascination for Technology. Likes to read, watch football and has an enourmous amount affection for Astrophysics.

AIM Upcoming Events

Regular Passes expire on 3rd Mar

Conference, in-person (Bangalore)
Rising 2023 | Women in Tech Conference
16-17th Mar, 2023

Early Bird Passes expire on 17th Feb

Conference, in-person (Bangalore)
Data Engineering Summit (DES) 2023
27-28th Apr, 2023

Conference, Virtual
Deep Learning DevCon 2023
27 May, 2023

3 Ways to Join our Community

Telegram group

Discover special offers, top stories, upcoming events, and more.

Discord Server

Stay Connected with a larger ecosystem of data science and ML Professionals

Subscribe to our Daily newsletter

Get our daily awesome stories & videos in your inbox