AI for insurers and health payers
We build privacy-first AI for insurers and health payers: anonymisation of sensitive data, risk stratification, claims integrity analytics for human review, and member calls and service.
Problems we help with
- Claims leakage.
- Fraud, waste and abuse.
- Rising claims costs.
- Member engagement.
- Using sensitive data safely.
What we offer
-
Anonymisation and privacy engineering
Use sensitive data without exposing people.
-
Risk stratification and risk management
Group members by likely future need, and act on the signals.
-
Claims integrity analytics
Patterns that may indicate fraud, waste or overcharging, for human review.
-
Member calls and service
AI voice for member calls, from Prime Assist.
-
Private on-device AI
Routine processing on the member's own device, with Prime Edge AI.
- In development
Averra
A digital health twin designed for insurers and health payers, in development.
Working with regulated organisations
- Security reviews.
- Support with data protection impact assessments.
- Human oversight of consequential decisions.
- The EU AI Act and UK GDPR in the design from the start. Read about regulation and risk
Ways to engage
[TO CONFIRM]
Questions people ask
Can you work with anonymised or pseudonymised data?
Yes. Anonymisation, pseudonymisation and redaction are part of our privacy engineering work, designed around UK GDPR and the ICO's guidance.
Do your tools make decisions about claims?
No. Our claims integrity analytics point to patterns for a person to review. Consequential decisions stay with people.
Is Averra available?
Not yet. Averra is a digital health twin in development, designed for insurers and health payers.