# 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](https://gateway-global.co.uk/technology/anonymisation/)**
   Use sensitive data without exposing people.
- **[Risk stratification and risk management](https://gateway-global.co.uk/technology/risk-intelligence/)**
   Group members by likely future need, and act on the signals.
- **[Claims integrity analytics](https://gateway-global.co.uk/technology/risk-intelligence/)**
   Patterns that may indicate fraud, waste or overcharging, for human review.
- **[Member calls and service](https://gateway-global.co.uk/products/prime-assist/)**
   AI voice for member calls, from Prime Assist.
- **[Private on-device AI](https://gateway-global.co.uk/technology/prime-edge-ai/)**
   Routine processing on the member's own device, with Prime Edge AI.
- In development
   **[Averra](https://gateway-global.co.uk/products/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](https://gateway-global.co.uk/technology/risk-intelligence/)

## 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.

## Tell us about your portfolio.

[Talk to us about your portfolio](https://gateway-global.co.uk/contact/insurers/)

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Source: https://gateway-global.co.uk/services/insurtech/