Unisound · Intelligent Insurance Agent

Strengthen Insurance Claims Risk Control and Accurately Identify Abnormal Expenses

Powered by medical large language models, domain-specific knowledge graphs, and healthcare data ecosystems, we deliver intelligent, efficient, and precise medical expense auditing solutions for commercial insurers—driving superior claims accuracy and operational excellence.

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Industry Pain Points

Deep insight into industry challenges, solved with AI

Claims Process Heavily Manual

Claims auditing relies heavily on manual work — low efficiency, high operating cost, hard to scale with business growth.

Non-standard Medical Documents, Hard to Verify

Medical document formats are non-standard and information authenticity is hard to verify — data quality issues impact claim accuracy.

High Insurance + Medical Expertise Barriers

Insurance terms and medical expertise create high barriers — auditing standards are hard to unify and claims staff take a long time to train.

Long Audit Cycles for Complex Cases

Complex cases take long auditing cycles, with insufficient risk-detection accuracy and poor customer experience.

核心能力

End-to-End Intelligent Review Across the Entire Claims Process

Case Intake

Supports local upload of case materials and seamless integration with insurers’ core systems, enabling efficient case data collection.

Intelligent Document Recognition

Powered by OCR and natural language processing, it automatically classifies complex documents, extracts key information, and converts it into structured data, with adaptive learning capabilities.

Intelligent Review Engine

Flexibly configures review rules across multiple insurance products and regions, supports customized engine development, and accurately identifies compliance and reasonableness risks in medical expenses.

Data Insights & Analytics

Aggregates and analyzes case data across multiple dimensions, strengthening macro-level risk control and early-warning capabilities while providing data-driven support for management decisions.

Core Advantages

Full-stack in-house technology, deep industry expertise

Technology Leadership

Powered by a medical industry LLM and large-scale medical knowledge graph; advanced data analytics and ML algorithms accurately understand medical documents and efficiently process complex medical-fee auditing scenarioses.

Deep Medical AI Expertise

Over 10 years of hospital-side AI experience, serving 700+ medical institutions; deep mastery of hospital lifecycle data with rich medical knowledge graphs and NLU — laying a solid foundation for smart auditing.

End-to-end Smart Auditing

A "virtual auditor" with medical knowledge and claims experience delivers efficient, precise and real-time smart auditing; end-to-end automation revolutionizes traditional claims, significantly improving service quality and processing efficiency while greatly reducing labor costs.

Multi-product Coverage

Covers auto-personal-injury, accident & health, critical illness and other insurance products — broadly applicable to diverse insurance scenarioses for medical-fee auditing.