Tony Emms, former CCO at Zurich UK and Sprout.ai advisory board member, says: “This solution is potentially transformational for the health insurance industry. Claim handling based on illness and medication coding frameworks create a huge amount of complexity. Medical claims are often the most difficult to handle because of these issues and their high volume, low value nature. By circumventing the coding system, with an entirely justified reasoning behind the triage, Sprout.ai has simplified the process for claims handlers. This solution will succeed because it impacts both leakage detection and efficiency gains simultaneously.”