Pega Marketplace
Mphasis Intelligent Document Assistant
Mphasis Intelligent Document Assistant to power up your documentation intensive customer journeys.
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Overview
This solution offers a robust suite of AI-powered utilities designed to optimize existing customer journeys such as Prior Authorization (PA) requests by streamlining document-driven workflows and reducing manual effort. The component architecture helps in plugging it into existing Pega applications or into new applications. Solution provides flexibility to connect to general LLMs like Azure Open AI or client's fine tune models and also can leverage AWS utilities or Mphasis NextLab utilities for activities such as Text Extraction, Summarization, document classification, Pega Case properties population from the attached files.
Key Features
- Document-Driven Automation: PA requests are dynamically generated based on the supporting documents submitted.
- AI-Recommended Documents: Suggests relevant documentation tailored to specific medical needs.
- Document Validation: Ensures all necessary documents are present to improve compliance and avoid delays.
- Auto-Population of Case Data: Extracts case details from submitted documents, minimizing manual input.
- Case-to-Document Validation: Cross-checks case entries with document content for accuracy and completeness.
- AI-Generated Summaries & Coding: Produces medical summaries and coding to support accurate classification.
- Content Summarization: Uses generative AI to highlight key information for faster review.
- Clinical Review Support: Offers approval recommendations to assist clinicians in faster decision-making.
Partner Name
Mphasis
Tags
- Pega Products: Pega Claims for Insurance Pega Foundation for Healthcare Pega Common Application
- Industry: Healthcare Insurance Financial Services
- Product Capability: Artificial Intelligence
- Pega Version compatibility: Pega Platform '24.2
- Geography: Americas EMEA Asia Pacific
Offering Type
Component