Star Health Partners with Medi Assist to Launch AI-Based Claims Platform
The initiative aims to streamline claim settlements, reduce manual workloads, and enhance accuracy and fraud detection.
Star Health and Allied Insurance Company has partnered with Medi Assist to implement MAtrix, an AI-powered claims processing platform, as part of its digital transformation strategy.
The initiative aims to streamline claim settlements, reduce manual workloads, and enhance accuracy and fraud detection.
MAtrix automates various aspects of claims adjudication. It offers co-working tools, AI-supported decision-making, and digital policyholder support through chatbots, virtual assistants, and WhatsApp integration.
The system is also designed to identify fraudulent claims and cut down on avoidable costs.
“Claims are at the heart of the insurance experience, and with Medi Assist’s platform, we are enhancing speed, accuracy, and consistency, while keeping a keen eye on fraud, waste and abuse.
"By reducing manual interventions and standardising processes, we aim to strengthen efficiency and reinforce trust with our policyholders,” Anand Roy, Managing Director and CEO of Star Health, said.
The partnership is backed by a unified API framework that allows secure, real-time data exchange between insurers, hospitals, and the National Health Claims Exchange (NHCX), improving transparency and coordination across the ecosystem.
