GermanyFinance and insurance2023 – ongoingHUK-COBURG
AI checks for manipulated health-insurance reimbursement documents
HUK-COBURG prevented fraud worth a 7-figure amount with document checks, ICO-LUX reported
Problem
Manual sampling and staff training detected some fraudulent claims. They could not provide comprehensive checks across thousands of submitted documents each day.
Approach
HUK-COBURG deployed ICO-LUX's ICO.Fraud to examine reimbursement documents automatically. AI compared document layouts and contents with reference documents to identify anomalies. The software also processed smartphone photographs of receipts.
Results
Takeaway
The checks extended fraud screening beyond manual samples to anomalies in submitted documents.
Categories
- Size
- Large enterprise
- Industry
- Finance and insurance
- Business function
- Finance, risk and legal
- Innovation type
- Process innovation
- AI technology
- Computer vision
- Adoption
- Vendor solution
- Goal
- Quality and risk
- Evidence
- Vendor case study
Sources
Source summaries
ICO-LUX described operational checks for altered reimbursement documents at HUK-COBURG. It reported prevention of fraud worth a 7-figure amount, including repeated submissions of falsified documents.
Full details are in the original sources.
