Frequently Asked Questions

IntelliHuman is an Artificial Vertical Intelligence (AVI) platform that delivers domain-specific AI built from real human expertise. We provide production-ready AI modules for insurance, healthcare, and logistics—trained by Subject Matter Experts with 15-35 years of industry experience.

AVI is the formal term for Vertical AI—a policy-native, continuously learning enterprise intelligence system that fuses enterprise data, domain knowledge, and human expertise into a single reasoning system. AVI achieves 85-95% accuracy in specialized tasks versus 60-70% for general AI.

General AI (like ChatGPT) is trained on everything and excels at nothing specific. Vertical AI goes deep into specific industries, understanding regulations, workflows, and domain expertise at expert-level performance. Vertical AI provides audit trails, citations, and explainable decisions—critical for regulated industries.

IntelliHuman serves insurance (claims, underwriting, fraud), healthcare (prior authorization, utilization management), and logistics (exception handling, carrier selection). We focus on regulated industries that require explainable, auditable AI.

Subject Matter Experts (SMEs) contribute knowledge through our structured capture process. SMEs with 15-35 years of experience document their decision-making logic, edge cases, and expertise. This knowledge is transformed into deployable AI that reasons like the experts.

Yes. IntelliHuman AVI is production-ready from day one. Unlike general AI that requires months of prompt engineering and fine-tuning, our AVI modules are trained on expert knowledge and achieve 85-95% accuracy immediately upon deployment.

No. IntelliHuman augments human expertise, not replaces it. Our AI handles routine cases automatically and routes complex situations to human experts with full context. Experts focus on high-value decisions while AI handles repetitive work.

ChatGPT and Claude are general-purpose AI. IntelliHuman is domain-specific, policy-native, and audit-ready. We provide explainable decisions with citations, integrate with enterprise systems, and meet regulatory requirements that general AI cannot satisfy.

The IntelliHuman Brain is our core AI architecture—a continuously learning domain intelligence layer that combines expert knowledge, policy rules, regulatory requirements, and machine learning. AVI modules are powered by the IntelliHuman Brain.

Yes. Every IntelliHuman decision includes explainable rationale with citations to policies, rules, and expert knowledge sources. This is essential for regulated industries where decisions must be defensible to regulators and customers.

AVI Claims is our expert reasoning engine for insurance claims processing. It provides intelligent claim triage, coverage reasoning, subrogation detection, fraud signals, and reserve estimation—all built from real adjuster expertise.

AI evaluates FNOL data to assess claim complexity, severity, and required expertise. Claims are scored and routed to appropriate adjusters: simple claims fast-track to automated processing, complex claims go to senior adjusters, and fraud signals trigger SIU review.

Yes. AI coverage reasoning analyzes policy language, exclusions, and endorsements against claim facts to determine coverage applicability. It cites specific policy provisions and achieves 85-95% accuracy on standard policy forms.

Subrogation detection identifies third-party liability and recovery opportunities. AI analyzes claim documents, police reports, and photos to flag situations where another party may be at fault, enabling insurers to pursue reimbursement.

AI fraud detection analyzes claim patterns, documentation consistency, and behavioral indicators to identify suspicious activities. It flags high-risk cases for Special Investigation Unit (SIU) review, reducing false positives versus rule-based systems.

Yes. AVI Claims integrates with major claims management systems via API or pre-built connectors. We support Guidewire, Duck Creek, Majesco, and custom systems.

AI handles routine auto, property, and general liability claims effectively. Highly complex commercial, aviation, or catastrophe claims benefit from immediate senior adjuster review, though AI still provides decision support.

AI underwriting achieves 85-95% accuracy on standard applications. AI evaluates risk factors, applies underwriting guidelines, and determines pricing—matching experienced underwriter decisions while processing applications in minutes instead of days.

Yes. IntelliHuman AVI is policy-native, meaning state-specific regulations and requirements are embedded in the AI architecture. Every underwriting decision is validated against applicable state regulations automatically.

Typical ROI includes 40% reduction in average handling time, 20-30% increase in subrogation recovery, 50% reduction in fraud investigation costs, and improved adjuster capacity utilization. Most organizations see positive ROI within 6-12 months.

Yes. AI claims triage and coverage reasoning complete in seconds. Real-time processing means claims begin moving through workflows immediately instead of sitting in queues waiting for manual review.

The IntelliHuman Brain captures adjuster feedback, decision outcomes, and expert overrides. This learning continuously improves AI accuracy while maintaining explainability—every decision remains auditable.

AVI Prior Auth is our expert reasoning engine for prior authorization decisions. It evaluates medical necessity against payer criteria, identifies documentation gaps, and generates authorization submissions—reducing processing time by 60% while improving approval rates by 35%.

Yes. AVI Prior Auth is built with HIPAA compliance at its core. PHI is encrypted end-to-end, access is role-based, all interactions are logged for audit, and a Business Associate Agreement (BAA) is available.

AI matches clinical indicators from documentation to payer-specific medical necessity criteria. It evaluates patient history, diagnosis codes, and proposed treatment against evidence-based guidelines and payer policies to determine if services are medically necessary.

AI generates talking points, clinical rationale, and relevant literature citations to prepare clinicians for peer-to-peer discussions with payer medical directors. It doesn't conduct the review but provides comprehensive preparation.

AI handles prior authorizations for procedures, medications, durable medical equipment (DME), imaging studies, specialist referrals, and hospital admissions. It works across payers and medical specialties.

AI identifies documentation gaps before submission and recommends additional clinical evidence to strengthen the medical necessity case. This proactive gap analysis increases approval likelihood by 35% on average.

No. AVI Prior Auth focuses on administrative workflow support—matching documentation to payer criteria, identifying gaps, and preparing submissions. It does not provide clinical diagnosis, treatment recommendations, or individual patient medical advice.

Yes. AI analyzes denial reasons, identifies relevant clinical evidence and policy language, and generates appeal-ready documentation. It learns from successful appeals to improve future authorization submissions.

Yes. AVI Prior Auth integrates with major EHR systems via HL7, FHIR, or custom APIs. Integration enables automatic data pull and reduces manual data entry burden on clinical staff.

AI evaluates authorization requests in minutes versus hours or days for manual review. The bottleneck becomes payer processing time, not internal review and documentation preparation.

Yes. IntelliHuman AVI is policy-native, meaning payer-specific criteria are configured separately and can be updated without model retraining. When payers update medical policies, changes deploy immediately.

Typical ROI includes 60% reduction in PA processing time, 35% improvement in first-pass approvals, 50% faster appeal turnaround, and significant reduction in administrative burden on clinical staff. Most see ROI within 6-12 months.

AVI Logistics is our expert reasoning engine for exception handling and freight management. It detects shipment exceptions in real-time, classifies by type and severity, recommends resolution strategies, and automates carrier communication—reducing exception resolution time by 40-50%.

AI handles delivery delays, shipment damages, POD mismatches, incorrect routing, carrier capacity issues, detention and demurrage, customs holds, and documentation errors.

AI monitors tracking feeds, GPS data, and carrier communications continuously. When deviations from planned routes, schedules, or conditions occur, AI detects exceptions within minutes and initiates resolution workflows automatically.

Yes. AI validates PODs against original shipment orders, detects signature, location, quantity, and condition mismatches, and automatically generates dispute documentation with evidence for carrier submission.

Yes. AVI Logistics integrates with major Transportation Management Systems via API, receiving real-time tracking data and pushing resolution recommendations back into operational workflows.

AI considers customer tier, shipment value, delivery urgency (just-in-time orders), cascade impact on downstream shipments, and historical customer sensitivity to delays when prioritizing exception handling.

Yes. AI carrier selection evaluates carriers based on cost, on-time performance, damage rates, route expertise, capacity, and customer requirements—balancing cost and service quality for each shipment.

Yes. The IntelliHuman Brain captures resolution outcomes and learns which strategies work best for different exception types. This continuous learning improves future resolution recommendations.

Predictive AI identifies risk factors (weather, carrier performance patterns, route congestion) and recommends proactive interventions like carrier changes or route adjustments before exceptions occur.

Typical ROI includes 40-50% reduction in exception resolution time, 15-20% freight cost reduction through optimized carrier selection, improved on-time delivery rates, and better customer satisfaction. Most see ROI within 6-12 months.

IntelliHuman integrates via REST API, webhooks, or pre-built connectors for major platforms (Guidewire, Epic, SAP, Oracle). Integration typically takes 1-4 weeks depending on system complexity.

No. IntelliHuman connects to existing systems via API and does not require migrating data out of your current platforms. Your data stays in your systems.

IntelliHuman is working toward SOC 2 Type II certification (Q2 2025), maintains HIPAA-ready architecture with BAA available, and complies with GDPR. We use AES-256 encryption, TLS 1.3, and conduct annual penetration testing.

No. Your enterprise data is never used to train our models. Period. Customer data is logically isolated, and no cross-tenant data access occurs. Your data remains yours.

Data is hosted on SOC 2 certified infrastructure (AWS). Enterprise customers can choose data residency (US, EU, or dedicated regions). We support configurable retention policies and data deletion on demand.

Typical deployment timelines: AVI modules deploy in 1-4 weeks including integration and configuration. Time to value varies by complexity: simple integrations show results within weeks, complex enterprise deployments within 2-3 months.

Yes. IntelliHuman scales to enterprise volumes—processing thousands of claims, authorizations, or exceptions daily. Our architecture supports high-volume operations without degradation.

Human experts can override AI recommendations. Overrides are captured and feed continuous learning. Complex or uncertain cases are automatically escalated to human review with full context and AI recommendations.

IntelliHuman pricing is based on usage (transactions processed) or subscription tiers depending on volume. Contact our sales team for custom enterprise pricing based on your specific needs and scale.

We offer pilot programs for enterprise customers. Pilots typically run 30-90 days processing a subset of workflows to demonstrate value before full deployment. Contact sales to discuss pilot options.

Enterprise plans include dedicated support team, integration assistance, training for your team, and ongoing optimization. Support levels vary by tier—contact sales for details.

Yes. IntelliHuman AVI modules can be configured to match your specific policies, workflows, and business rules. Custom module development is available for unique enterprise needs.

Yes. We offer integration services, workflow optimization consulting, and custom module development. Professional services ensure smooth deployment and maximize value.

Enterprise contracts typically run 1-3 years with flexibility for growth and expansion. Pilot programs have shorter commitments. Contact sales to discuss options.

Yes. Many customers start with a single workflow or department, prove value, then expand to other areas. Our modular architecture supports phased deployment.

Contact sales via our website, schedule a demo, or request a pilot program. We'll assess your needs, demonstrate relevant AVI modules, and design a deployment plan.