Relacio:
A Cutting-Edge Artificial Intelligence Solution

Relacio is our solution for detecting frauds. It applies unconventional AI techniques to identify fraud, waste, and abuse (FWA) in insurance claims. The result is a huge productivity boost to your existing claims adjudication workflow.

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Relacio is like your mopping robot!

Relacio is a fraud detection AI service that sweeps your claims data for fraud, waste, and abuse (FWA) automatically without you instructing how to do it.

API Services in Claims Adjudication Process

Relacio can be seamlessly integrated into your existing workflow using API services and securely installed within your firewall, ensuring data privacy and efficiency.

Add-on Tool

Relacio is a supplement to your existing claims adjudication toolbox, covering the blind spots your existing tools may have missed. It does not replace your workflows.

Automation

Relacio can automatically screen incoming claims and catch suspicious claims in real-time.

Very Fast Deployment

Relacio can be implemented in weeks rather than months and be familiarized by users in a short amount of time.

How is Relacio different?

OUR INNOVATION

Explainable AI

Relacio significantly boosts productivity by automatically generating exact reasons of suspicion, allowing reviewers to make go or no-go decisions in seconds.

OUR INNOVATION

No Longer Limited to Prior Knowledge

Relacio can learn from claims data by itself and hence, subject matter knowledge is not needed to start.

OUR INNOVATION

No Longer Labor Intensive

Relacio does not use a rules engine. Users do not need to perform laborious tasks in formulating, writing and updating detection rules by hand. There is also no need to localize going from “market to market” or “product to product” for that matter.

OUR INNOVATION

No Longer Lag Behind

Relacio can automatically adjust to regime changes such as new products, new regulations and external shocks. We are not simply looking for troubles that happened in the past. We are also on the lookout for what new types of problems that could happen.

OUR INNOVATION

No More “Unknown Unknown”

Each claim is evaluated on its own merits each single time. No longer merely looking for past known frauds. We also look for problems you may not have known existing.

Learn how to enhance your
claim workflows with Relacio

All your information is completely confidential.