AI‑powered enrollment modernization

In today’s dynamic healthcare landscape, an efficient and accurate enrollment process is essential for payers, members, groups, and brokers. Many healthcare payers face persistent challenges such as variability in handwritten applications, which makes interpretation and transcription difficult for processors and traditional OCR systems. In addition, manual data entry is time‑consuming and prone to errors, impacting enrollment accuracy, turnaround time and member experience. Infosys’ AI‑powered enrollment solution addresses these challenges by leveraging Azure Document Intelligence to accurately extract data from enrollment forms, including handwritten text and checkboxes.

Integrated with an enterprise‑grade AI platform and with one‑click automation, the solution streamlines data capture, validation, and downstream processing. By reducing manual effort, improving accuracy, and enabling scalable automation, the solution supports diverse enrollment formats while ensuring security and compliance. This helps healthcare payers accelerate enrollment cycles, minimize errors, and deliver reliable, consistent, and responsive enrollment experience.

Key benefits

~65% decrease in turnaround time

Low code, no code solution

Increased member, group, and broker satisfaction

100% accuracy

Efficient, secure, and scalable

Business challenges

Non-digital intake channels (fax, paper based)

Inconsistent enrollment volumes

Resource utilization

Handwritten applications

Need for faster enrollment

Operational costs

Manual data entry & errors prone process

Regulatory compliance requirements

Communication

Solution architecture

Generative AI and cognitive automation enhance enrollment and member maintenance, improving efficiency, accuracy, and compliance.

Solution components

Gen AI-based advanced extraction of structured or unstructured data from printed or handwritten documents, with complex document layouts, displaying the output on the user interface.
The user interface features customized screens designed according to the process, facilitating the review of extracted data, allowing agents to update or amend it as needed.
AI knowledge management assistant providing quick help to agents with SOPs and guidelines.

One-click automation for enrolling and updating member records, streamlining manual activities, and ensuring seamless integration into the enrollment system.
Dashboard and insights: Near real-time reporting of business and operational SLAs & KPIs along with process insights to enhance decision making.