Blue AI

Blue AI is an AI assistant that helps employers and healthcare providers in Latam catch fraud, misuse, and preventable hospitalizations from health plans, pointing out problems that businesses hardly see coming, can still be treated with $20 per month but might cost $10,000 per year, per member if not taken care of. Today, it's a no-code AI platform, where HR and Healthcare Managers drag and drop claims database files, and select pre-trained machine learning models, based on XGBoost and NLP mainly, without coding or statistical expertise. Finally, Blue AI provides a list of which employees might need care to prevent a hospitalization that might come in the next 12 months, 6x more precise than investing in the previous high-cost members (how it is done today), and points out unnecessary duplicated procedures, incorrect reimbursements, and other potential misuse. By doing so, Blue AI presents problems that can still be treated with $20 per month but might cost $10,000 per year per member if not taken care of, so employers can invest accurately in primary care up to 12 months in advance of something severe happening, at the same time leading to efficient and transparent use of health insurance and health plans.