Operationalizing GenAI for tangible benefits

The Prior Authorization solution assists clinical reviewers in decision-making by retrieving and extracting information and assessing the medical necessity of requested services. It helps extract and summarize the clinical information from the clinical attachments to the case, in accordance with applicable coverage determinators or health plan coverage guidelines, aiding reviewers with accurate and faster determinations. 

The Smart care management solution is a GenAI-powered conversational interface that streamlines member outreach and information retrieval for care managers, enhancing engagement with at-risk patients. It facilitates early interventions and improves health outcomes with targeted education and preventive actions by extracting and utilizing data from health risk assessments and claims files. It personalizes communication to match patient preferences and supports interactive, two-way exchanges, allowing care managers to respond efficiently to patient inquiries and provide right content by referencing the source data. 

The Patient Safety Narrative solution auto-generates clinical trial safety narratives, enhancing compliance and efficiency in pharmaceutical and clinical research. The solution significantly reduces the time medical writers spend drafting safety narratives, from hours to minutes, by processing structured and unstructured data, including lab, image, physical, vital, demo, omics data, adverse events, serious adverse events, etc. This approach not only minimizes manual effort but also improves turnaround times and narrative quality, enabling medical writers to concentrate more on critical review tasks rather than document drafting.   

The GenAI-powered Modernization and Migration solution seamlessly transitions code from legacy languages to modern technologies, enhancing workflow efficiency and resource optimization. This solution analyzes source code with reduced reliance on legacy expertise, provides code suggestions for restrictive and low-maintainable legacy code, and boosts efficiency by automating routine tasks, freeing staff for strategic roles. Additionally, it enhances resilience by embedding current coding practices and ensures transparency and quality by clearly identifying gaps for manual intervention, providing robust quality assurance at both syntax and logic levels. 

The Patient Services and Support solution is a GenAI-powered virtual companion that optimizes patient support by offering instant, human-like responses about Patient Support Programs for drug products. This tool enhances user experience by providing personalized administrative responses and ensuring therapy adherence through proactive engagement. Additionally, it boosts call center efficiency by reducing inbound queries and automating routine tasks, ensuring round-the-clock availability. The virtual companion also collects and analyzes patient feedback, identifies content gaps, and facilitates effortless updates and maintenance, ensuring accuracy and compliance in support operations. 

Revolutionize healthcare conversations by elevating efficiency, empowering agents, and enhancing patient experiences with Agent Assist. It can benefit from GenAI by providing agents with real-time access to accurate medical insights, enabling them to handle complex queries efficiently while adhering to strict regulatory standards. In addition, routine tasks like appointment scheduling and insurance verification can be automated, freeing up more time for personalized patient interactions. 

Drive impactful outcomes with GenAI and automate QA to accelerate production. Software testing can be expensive and involves extensive data verification, functional testing, and automated checks. Integrating Generative AI (GenAI) in the Software Testing Life Cycle (STLC) addresses these challenges. It optimizes efficiency—saving time, costs, and effort—while enhancing accuracy, focusing on patient needs, accelerating market readiness, and maintaining compliance. 

The Care Team Assist – Medical Ally solution, leveraging GenAI capabilities, enhances care team efficiency by synthesizing structured and unstructured healthcare data into an actionable knowledge base. This solution offers document summarization to streamline patient history reviews, intelligent search to optimize information retrieval, and personalized content generation for enhanced patient communication. It ensures physicians have instant access to critical health insights, boosting decision-making and operational efficiency. For patients, it provides a conversational bot for real-time, accurate medical guidance, enhancing the overall care experience.