AI Reports · Deloitte · 2026-10-05 · Report / white paper
Helping a large health care organization orchestrate AI powered claims operations
A health care company struggled to improve medical claims operations despite heavy investment in traditional automation, with its auto-adjudication rate stalled and costs, overpayments, and penalties running into millions of dollars a year. Deloitte implemented and now operates an AWS-based AI solution that uses agentic AI to automate claims review and decisioning without overhauling existing systems. The solution automates 6 million claims annually and reduces processing times by 20-35%.