2026

Healthcare

Claims triage agent

Meridian Health

8 weeks

Client

Meridian Health

Industry

Healthcare

Duration

8 weeks

Result

−72%

Manual review time

An agent that reads, classifies and routes 40,000 monthly claims — escalating only the true edge cases to human reviewers.

The challenge

Meridian’s claims team was reading 40,000 documents a month by hand. Routing took days, and the complex cases that needed a specialist waited in the same queue as the simple ones.

What we built

A triage agent that reads each claim, extracts the key fields, classifies intent and routes it — with a confidence score attached. Anything below the threshold goes to a reviewer with the evidence already highlighted.

The outcome

Manual review time dropped by 72% in the first quarter. Specialists now spend their day on the hard cases, and every routing decision is logged and auditable.

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