AI Healthplan (USA)

We’re excited to share our journey in developing AI Healthplan, an innovative AI-driven solution designed to simplify healthcare navigation. In partnership with our friends at Talentr Solutions, we began this project in March 2024.

About customer

At Talentr, we aim to be a beacon of innovation. With vast experience in crafting cutting-edge solutions for organizations ranging from Fortune 100 to startups, we pride ourselves on our top talent, our culture, and our commitment to experience and excellence. We love to build stuff, but we also love exploring new technologies and ideas. Most of all, we love to enable others to drive their own mission.

Project Overview

The AI Healthplan project is all about making healthcare more accessible and less confusing. Imagine being able to quickly and easily find answers to your health insurance questions, whether they’re simple or complex. Our solution allows users to search through a general knowledge base as well as personalized health plan documents, helping them make informed decisions about which hospitals or practices to visit and what services are covered.

Challenges and Solutions

We used Azure AI services and integrated Retrieval Augmented Generation (RAG) to power our solution. Here’s a peek into our development process: we started by ingesting both general platform knowledge and user-specific datasets using our custom endpoint. This endpoint is responsible for parsing documents, creating manageable chunks of information, and generating embeddings. All this data, along with source information and document copies, is securely stored in Azure. We experimented with various RAG strategies and chose the best-performing one to ensure top-notch performance.

One of the standout features of AI Healthplan is that every piece of information provided to users is sourced directly from their health plan documentation. Users can access deep links that take them straight to the original documents from which the information was pulled, ensuring transparency and reliability.

To maintain the focus and relevance of the information, we’ve implemented guiderails that prevent the system from addressing unrelated queries. This ensures that users receive accurate and pertinent information, enhancing their overall experience.

Results and Impact

The development process was a collaborative effort, with our teams working closely to iterate and refine the solution. We focused on user feedback to continually enhance the platform’s usability and accuracy. The current pilot stage has been a resounding success, and we’re actively working on further enhancements.

By providing clear, reliable information at their fingertips, AI Healthplan empowers users to make better healthcare decisions. No more wading through confusing health plan documents or waiting on hold with customer service. Our solution offers peace of mind, helping users feel confident and informed about their health coverage.

We’re thrilled to continue improving AI Healthplan and look forward to seeing how it can make a real difference in people’s lives.