private medical insurance

AI-powered triage and care navigation for PMI

Guide your members to the most appropriate and cost-effective services for their needs with AI triage and care navigation that slots straight into your existing healthcare toolset.

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We’ve helped 100+ organizations since 2012

Proven client success

0%

of members who change care intent are redirected to lower-acuity care settings1

0%

of members who intend to go to the ED are diverted to lower-acuity settings2

$0

saved per encounter for patients who initially intend to seek emergency care3

0%

increase in self-care recommendations4

0%

reduction in members uncertain about their care intent3

0%

member satisfaction rating5

Leading health insurers choose Infermedica

Infermedica’s AI triage encourages members to engage with their insurance provider by offering clinically validated healthcare guidance that saves time and money for insurers and their members.

Keep members engaged

Engage your members and improve member satisfaction and retention.

Provide clear care pathways

Provide members with clear directions, explaining care pathways and connecting to in-network healthcare services.

Reduce overutilisation

Reduce the misuse of healthcare services by guiding members to the care they need, when they need it.

Lower claims costs

Keep costs down with early detection, timely intervention, and by promoting preventative services to reduce the use of more expensive long-term care options.

Utilise data effectively

Leverage member data to enhance risk stratification and craft targeted healthcare campaigns.

Be digitally connected

Connect all of your digital offerings seamlessly, ensuring your digital tools are working for you and your members.

Customer Story

Healthdirect helps up to 26 million people access healthcare with Infermedica

  • Boosts meaningful engagement
  • Integrates well with existing digital ecosystem
  • Enables the opening of new care pathways
  • Tangible cost savings
  • Reduces inappropriate use of emergency services
  • Excellent patient and clinician satisfaction

Inspiring implementations

Our clients' experience

How much could your organization save with AI?

Explore the potential cost savings and benefits in operational efficiency and clinical outcomes your organization could achieve by leveraging AI-powered virtual triage.

Calculate your savings

Providing support to PMIs and their members worldwide

23M+

health checkups performed

100+

customers and partners globally

12+

years of experience in AI

92%

accuracy in care recommendation6

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Compliant with standards for patient data protection

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Compliant with the General Data Protection Regulation

Processes and Development Procedures certified with ISO 27001:2017

ISO

Quality Management System certified with PN-EN ISO 13485:2016

Join the future of AI-powered member engagement

Vlad Kozachuk

Senior Business Development Executive