Case Study: a Dental Insurance Platform achieves 80% robotic claims validation with Fively's insurance claims automation solution

a dental insurance platform validates 80% of claims with Fively

The customer, a US-based dental insurance platform startup, faced the challenge of automating its insurance claims processing to modernize customer service and meet high demand. They partnered with Fively to develop a smart tool for straight-through processing, seeking their expertise to create a solid technical foundation and overcome local hiring difficulties.

Fively implemented a solution using Node.js, Python, and React to build internal and external tools, functioning as an integrated part of the in-house team. The result was a platform that robotically validates 80% of all claims with no human involvement, processing over 1.5 million claims in 12 months and achieving a 6-day turnaround time. The project was met with high praise, with the customer noting Fively's team was professional, punctual, and communicative.