Agentic BPaaS in Health Plan Claims Management

Transform claims operations and member experience with agentic AI — improving accuracy, speed, and compliance across the lifecycle.

NTT DATA helps health plans modernize claims through agentic AI-driven intelligence, advanced data processing, and continuous process improvement.

Our authorization agents integrate with core platforms to retrieve claim data, validate member/provider details, and apply business rules (PAR/NON-PAR, Medicare, Commercial) to auto-approve, deny, or flag exceptions — while human-in-the-loop ensures auditability and ongoing improvement.

What you’ll learn:

• What agentic BPaaS with orchestrated AI agents is.
• When organizations typically see a material impact.
• How this technology integrates with core systems.