# Risk intelligence for health and insurance

We build risk stratification, risk management and claims integrity tools for insurers, health payers and providers. They point people's attention to where it can do most good, and they leave consequential decisions with people.

Last updated 23 September 2026

## Claims integrity

Spotting patterns in claims that may indicate fraud, waste, over-prescription or overcharging, for a person to review.

## Safeguards

- **Human review**: People review consequential decisions. Our tools inform them; they do not make them.
- **Explanations**: Signals come with the reasons behind them, so a reviewer can check them.
- **Privacy**: Sensitive data is anonymised or pseudonymised, and minimised, wherever the work allows.

## Regulation

- Under the EU AI Act, AI used for risk assessment and pricing in life and health insurance is classed as high-risk (Annex III), with obligations currently due from 2 December 2027.
- UK GDPR sets rules on automated decision-making about people.
- UK insurers also work within the Financial Conduct Authority's rules, including the Consumer Duty.

We design with these in mind.

## Put your attention where it does most good.

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

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Source: https://gateway-global.co.uk/technology/risk-intelligence/
Updated: 2026-09-23