M-TIBA, has implemented artificial intelligence into its system to change the process of approving claims.

By utilizing technology, claim processing times have been reduced, leading to faster payments for healthcare providers and quicker claims for patients.

“The AI solution is seamlessly integrated into our claims assessment process. This new system enables us to expedite claims reviews significantly,” said Mr. Shadrack Kiratu, Head of Pricing and Portfolio Management.

Currently, over 40% of claims are automatically processed using AI technology, which speeds up the approval process and allows reviewers to focus on thorough assessments.

In the past three months, M-TIBA has utilized advanced technology to automatically evaluate claims for top health insurers, resulting in quicker payments to providers.

One of the traditional challenges in the health insurance industry has been the lengthy claim processing times, which can delay reimbursement for medical expenses.

M-Tiba’s innovative technology streamlines the claim processing system, allowing for quicker and more efficient processing of claims, benefiting both healthcare providers and patients.

By eliminating the need for manual reviews, the efficiency and speed of claim processing have significantly improved.

Operational efficiency is critical for M-Tiba’s success, as it allows for quicker processing of claims and faster access to funds for healthcare providers.

By implementing AI technology, M-Tiba can automate repetitive tasks, such as claim verification and processing, which can significantly reduce administrative costs.

These cost savings can then be reinvested into expanding services, improving customer experience, and ultimately increasing M-Tiba’s competitiveness in the market.

By improving claim processing, M-Tiba can reduce administrative costs and pass on these savings to customers in the form of more affordable health insurance products.

This not only makes healthcare more accessible to a wider range of individuals but also helps to increase the overall health and well-being of the community.

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Faster claim approvals can also greatly improve the customer experience by reducing wait times and ensuring that individuals receive the care they need on time.

This can lead to greater customer satisfaction and loyalty, ultimately benefiting both individuals and the insurance company.

According to the Insurance Industry Market Report 2022 by the Association of Kenya Insurers (AKI), there is a noticeable increase in the use of AI technology within the Kenyan health insurance industry.

This industry trend is illustrated by M-Tiba’s innovative approach to utilizing AI to improve access to healthcare services.

By utilizing AI technology, M-Tiba is setting a trend for other companies in the health insurance tech sector to follow suit and embrace innovation for the betterment of their customers.

Kenya’s artificial intelligence (AI) in the healthcare market is projected to grow from $4.83 million in 2022 to $101.48 million by 2030.

This will register a compound annual growth rate (CAGR) of 46.32% during the forecast period of 2022–30.

M-Tiba empowers you to manage your health finances directly from your phone through its user-friendly mobile app and online portal.

This innovative platform allows you to access your medical benefits, including those offered by your insurer and simplifies healthcare payments.

Whether you’re reviewing your coverage details or paying for treatments at M-Tiba partnered healthcare providers, the platform ensures a smooth experience.

It’s important to familiarize yourself with the M-Tiba terms and conditions before using the service to fully understand your rights and responsibilities as a user.

Looking ahead, the integration of AI in health insurance technology is set to transform the industry by improving operations and enhancing data analysis capabilities.

Stay tuned for further developments in AI-powered health insurance, as the future looks bright for changing the healthcare landscape.