Provider Matching NLP Engine

Apex Systems engaged with a health insurance provider to solve a data quality and efficiency problem using machine learning. The client’s operations involved matching lists of healthcare providers utilized by corporate policyholders against the insurer’s own provider network records. This process was previously done manually by a team and was extremely time consuming and error prone, due to inconsistencies in how provider names and addresses appeared across different data sources. Apex developed an AI powered provider matching solution that uses Natural Language Processing (NLP) and machine learning to automatically compare and reconcile provider information across multiple unstructured data sources. The result was a drastic reduction in manual effort (saving thousands of man hours) and improved accuracy in the network confirmation process.