Precision and Speed-to-Insight in Commercial Medical Underwriting

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A national health plan partnered with IQVIA to enhance underwriting models using de-identified claims and advanced AI/ML. The process tokenized census files, matched records to medical and Rx claims, and returned results in under five minutes. Benefits included census-level coverage, high match rates (95%+), and 99.5% uptime. Continuous recalibration ensured adaptability to new treatments like cell and gene therapies. The solution improved pricing precision, reduced loss risk, and helped insurers compete effectively with more nuanced risk modeling.

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Case Study

Precision and Speed-to-Insight in Commercial Medical Underwriting

Precision and Speed-to-Insight in Commercial Medical Underwriting

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