Infographic: From Unstructured Inputs to Automation-Ready Operations for Healthcare Payers
Healthcare payers are inundated with paper forms, faxes, PDFs, and member-submitted images every day. These unstructured inputs are a natural part of payer operations — but when handled manually, they trigger rework, delays, and downstream errors. The result: claims backlogs, frustrated members, and compliance penalties that can reach 18% annually.
At the same time, leading payers are showing there’s a smarter way forward. By centralizing intake logic, applying OCR and AI-powered classification with AI-driven validation, and producing structured, automation-ready outputs, they’re laying the foundation for accuracy, speed, and trust across the entire claims lifecycle.
This infographic illustrates the shift — from manual intake challenges on the left, through the AI-powered Intake Engine at the center, to automation-ready operations on the right. It highlights the specific risks of manual intake and the tangible outcomes of intelligent, structured data: faster adjudication, clearer member communications, and stronger compliance confidence.
Why This Matters
Operational efficiency: Structured, validated data reduces rework and accelerates claims throughput.
Member experience: Accurate, timely communications build trust and loyalty.
Compliance readiness: Automated, AI-driven validation and intelligent workflows help avoid penalties and audit exposure.
Download the infographic to see how AI-powered intake and validation serves as the catalyst for payer modernization — and why it’s the critical pivot point between manual bottlenecks and intelligent automation.
While this infographic shows how AI-powered intake transforms unstructured inputs into automation-ready data, it’s only one part of the bigger story. Health plans also face challenges with data quality, reconciliation, and support channels — each with its own risks and opportunities.
Our new playbook, 4 Challenges Blocking Intelligent, Scalable Payer Operations, explores these areas in depth and outlines practical strategies payers are already using to modernize.
Want the full picture?
This infographic covers intake — but our playbook explores 4 challenges blocking scalable payer operations, plus practical strategies to solve them.