leveraging cognitive capture to extract key process information
TRANSCRIPT
IBM CONTENT 2017
How to Leverage Cognitive Capture to Intelligently Extract Key Process Information
YOUR PRESENTERS
MIKE SOAVEAccount ExecutivePyramid Solutions
Manager, Solution ConsultantsPyramid Solutions
BRIAN BENOIT
DISRUPTORS ABOUNDMILLENNIALS Demand interactive and instantaneous buying experience
NON-TRADITIONAL PRODUCTSFocus mostly on health benefits and less on mortality risk
NEW EXTERNAL PLAYERSAbundance of capital and knowledge of consumer buying habits
Millennials
Non-traditional products
External players
CARRIER PAINSMAXIMIZING FAST TRACK Better, more informed decisions
STREAMLINING THE PROCESS Special authorizations, APS processing
MORE WITH LESSAvoid medical records and paramed exams
ACCURATE RATING Greater insight to rate more precisely
Carrier
Reinsurer
Decision
INTELLIGENT ASSESSMENT What is the level of risk?
Risk Score
Content Æ Data Æ Information Æ Decision
MIB
Cognitive Engine
Fast Track
Underwriting
PolicyTHEUNDERWRITING
PROCESS
EXTRACTING KEY MEDICAL DATA Establish a chronology of declared and reported information
DiagnosesPrescriptionsProceduresChronologyHandwriting
Redundant text
MIB
Medical Extractor
Key Info Bookmarked
2011 2012 2013 2014 2015 2016
Colon polyps / benign Angina
Diabetes Type II
DIAGNOSES / TREATMENTS
PRESCRIPTIONS / DOSAGE
Propranolol
Metformin
GOAL: ASSIMILATE DIAGNOSTIC AND RX INFO AND LAB RESULTS INTO APPLICANT TIMELINE
Content NavigatorA unified user experience for capture, content and case
SOURCE
MFP
Tablet
FaxArchive
Scanner
Smartphone
NetworkScanner
DatacapWeb, Desktop, Mobile
TRANSFORM
Look-UpVerify Rules
ClassifyExtract
OMR BarcodeOCR ICR
DELIVER
Web PortalLOB
Solutions BPM
ECM On-Premise
ECM Cloud
CaseMgmt.
IBM DOCUMENT CAPTURE CAPABILITIES At a glance
SOME EXTRACTION IS EASY…
SOME IS NOT…
TITLE
UNSTRUCTUREDBOLDED FONTS
BULLETS
STRUCTUREDBOLDED FONTS
ALIGNED
TABLEBOLDED FONTSBOLDED LINES
COGNITIVE IMAGING Understanding content within its context
OUT OF BOX EXTRACTORS -Dates, Person, Health Condition
Cognitive Extractors• Big Insights• Natural Language Understanding
CUSTOM EXTRACTORS -ICD Codes, Prescriptions, Doctor Name
Custom Extractors
• Literal
• Dictionary Terms
• Regular Expression
• Proximity Rules
• Many dates on medical reports
• How to determine which is the right one?
DATE CHRONOLOGY -Custom Actions
SOME EXTRACTION IS REALLY HARD!
UNDERWRITER TOOLSProvide underwriter with tools to verify data
PRESENT CONDITIONSProvide high level view of applicant conditions
HIGHER RISK
2010 2011 2012 2013 2014 2015 2016
AnginaColonPolypsBenign
DiabetesTypeII
HighCholesterol
Propanolol
Lipitor
Metformin
DIAGNOSES / TREATMENTS
PRESCRIPTIONS / DOSAGEPropanolol
CONTINUOUS ASSESSMENT What’s next
Risk Score
Train
Content Æ Data Æ Information Æ Decision Æ Feedback
MIBPredictive Model
Cognitive Engine
UnderwriterFast Track?
APS RequestsRating Support
