We discuss how to make LLMs reliable for insurance data extraction. LLMs don't work out of the box. The challenge is staying accurate across messy submissions, conflicting fields, and complex extractions like property schedules. We break down the problems and solutions.
Congrats -- great post, new health insurance options are much needed! How did you assemble your provider network and how do major hospital options compare to other major carriers (eg. BCBS Texas PPO)? Does this EPO plan offer any out of network / outside of Dallas coverage? What is your target employee demographic? How has your experience been getting brokers to distribute this new plan?
Thanks! We’ve built our primary network ourselves. We have about half of the major regional hospital options working with us, as well many of the top specialist provider groups. It’s narrower than the network of a BCBS but growing rapidly. An EPO does not support out-of-network coverage but we do handle out-of-area through a partner, so people don’t need to worry while traveling, etc.
The target employee demographic is younger/Millennial focus but we’ll work with any employer group that has 100+ employees.
For distribution, it took time to build trust with brokers. We went through a lot of introductions and meetings to find people we trusted, and to help them also trust us. It required a lot of personal interaction. Currently, we work with two commercial brokerages, and will continue expanding and growing our broker relationships. We are "broker-friendly."
Suril here. We think of our service as an outsourced benefits team member. We handle ongoing payments and issues with carriers (which are surprisingly common), payroll adjustments, tax support at year end, and all employee questions.
Personally yes, I think that'd be fair. Similar to how I don't pay my patent lawyer or even accountant monthly. Presumably many things change as a business grows, but this is a (very) small business perspective.
