Medi Assist Unveils Upgraded AI-powered Platforms to Advance Cashless Health Insurance Claims

The latest enhancements include upgraded versions of MAven Intelligent Document Processing (MAven IDP), MAgnum, and MAven Guard, designed to automate documentation, improve claims management, and strengthen fraud detection across the health insurance ecosystem.

Bengaluru-based Medi Assist Healthcare Services has introduced upgraded versions of its AI-powered healthcare platforms aimed at improving the cashless healthcare experience for insurers, hospitals and patients.

The latest technology enhancements are designed to streamline cashless healthcare claim processes across the cashless healthcare journey, from hospital admission and pre-authorisation to claims processing and fraud detection.

The latest enhancements include upgraded versions of MAven Intelligent Document Processing (MAven IDP), MAgnum, and MAven Guard, designed to automate documentation, improve claims management, and strengthen fraud detection across the health insurance ecosystem.

The company announced that more than 50 per cent of hospital cashless pre-authorisations are now approved in under five minutes, helping patients begin treatment sooner while reducing administrative delays.

In addition, the company reported an improved Net Promoter Score (NPS) of 67 for its claims experience, reflecting higher levels of customer satisfaction, while calls from claimants have declined by over 60%, indicating a smoother claims journey.

Among the key enhancements, the upgraded MAven IDP leverages artificial intelligence to read hospital documents and convert them into structured clinical summaries, enabling claims teams to process requests faster and with improved consistency.

The MAgnum platform seeks to provide hospitals real-time visibility into patient eligibility under Raksha Prime, claim status, and payment updates, allowing healthcare providers to deliver cashless services with fewer administrative queries.

Meanwhile, the latest version of MAven Guard is designed to strengthen claim integrity by detecting fraud, waste, and abuse with up to 50% greater precision, as reported by the company.

The enhanced fraud analytics are intended to help insurers process genuine claims while strengthening the integrity of the insurance ecosystem.

Commenting on the latest development, Satish Gidugu, CEO, Medi Assist Group, said, “At Medi Assist, we've always believed that technology should make healthcare more accessible, not more complex. Our įourney began by simplifying the discharge process with Raksha Prime, and today we’re extending that same approach across the entire cashless įourney, from admission and authorisation to claims decisions and fraud detection. Every improvement removes a point of friction between a patient and the care they need.”

Stay tuned for more such updates on Digital Health News