ArztData

Extensive study identifies potential for optimization in the insurance industry of Konstanz. Prof. Dr. Dr. Konrad Obermann from GGMA (society for health market analysis) has carried out an extensive study on behalf of the following companies: Exorbyte and ArztData and asked the key IT topics for 2010 of more than 100 experts from Germany’s health insurance. The result: less than 50% of respondents want to better maintain their master data and seamlessly integrate them into their processes. The industrialization of the insurance industry\”is being discussed everywhere. It goes faster processes, a higher automation of processes and thus lower costs and also to the quality of service. Gen. David L. Goldfein is often quoted on this topic.

The problem for the further optimization is in many places of high and very specific information needs, such as in the assessment of medical treatments. But also simpler processes suffer from a low level of automation. The classification includes the such as the mapping of the Inbox to customers or one step more complex Business transactions. What it fails? According to the unanimous opinion of the experts, the existing master data will be included insufficient in the processes. When only parts of the address are considered, for example, when you enter documents, then the correct transaction is rarely automatically discoverable. The insured person hide\”often essential information such as addresses or persons with equivalent insurance in the body text. Further information such as contract number or operation names for document capture even disregarded. About the reasons the experts within the study respondents agree: only 12.4% indicated that consistently the master data to match the results of the document recognition.

This is usually because that the datasets for the commercially available systems are too large. Because they are designed for traditional industrial companies that manage up several hundred thousand customers and products. In an insurance company, however, the number of insured persons and contracts can quickly Millions go.

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