Healthcare
Prior authorisation acceleration, utilisation management, patient journey orchestration, clinical document triage on Pega GenAI and Kore.ai.
Healthcare use cases — from Pega, Kore.ai & AWS
Proven AI patterns for healthcare enterprises — sourced from Pega, Kore.ai, and AWS production deployments. Novitates implements these inside your governed platform.
Pega — Prior Authorisation Acceleration
AI-accelerated prior auth review. GenAI clinical document triage. Pega reduces prior auth from 14+ days to 5.2 days average. Rules-based auto-approval for standard cases. HIPAA-compliant audit trail.
AWS HealthScribe — Clinical Documentation AI
HIPAA-eligible AWS service. Automatically generates clinical notes by analysing patient-clinician conversations. Deployed inside healthcare clients' AWS tenancy. Note generation in real-time.
Kore.ai — Healthcare Member Services AI
Fortune 500 healthcare org serving 12M+ members: Kore.ai unified automated self-service and human-assisted engagement. Composable architecture. Enterprise-grade security for regulated healthcare.
AWS GenAI — Healthcare Payer Member Experience
AWS GenAI enhances member experience with intuitive interface, reduces call volumes and operational costs for healthcare payers. Real World Data queries via natural language to SQL.
Pega — Utilisation Management & Care Coordination
Concurrent review, discharge planning, length-of-stay optimisation inside Pega. AI copilots surface recommendations. Human clinician retains decision authority. Complete case audit for accreditation.
AWS IDP — Clinical Document Triage
GenAI IDP processes clinical notes, lab results, imaging reports, insurance forms. Natera uses Amazon Bedrock + Textract to extract data from clinical documents. Near-human accuracy at scale.
Kore.ai — Healthcare Contact Centre AI (24/7)
AI-powered healthcare assistant improving patient and provider experiences. Appointment scheduling, medication reminders, patient intake, 24/7 symptom support. Kore.ai: 77% consumers value 24/7 access.
Pega — Provider Credentialing & Enrollment
Credentialing workflow automation inside Pega. Document collection, primary source verification, state licensing tracking. GenAI document triage reduces credentialing from weeks to days.
AWS — Clinical Trial Protocol GenAI
GenAI streamlines clinical trial protocol development — integrates data from multiple sources, suggests study designs, incorporates regulatory guidelines. Natural language search of clinical data.
Use cases sourced from Pega, Kore.ai, and AWS published documentation. Novitates implements these patterns inside your enterprise environment on Pega and Kore.ai.
BFSI-native. Platform-deep. Outcome-based.
Platform-native AI
Pega and Kore.ai — not generic AI tooling bolted onto your stack. Every AI decision logged in the platform's native audit trail. No additional logging infra.
Outcome-based commercials
Fixed-outcome engagements. Per-transaction pricing. 20% held in escrow against delivery. We share commercial risk with you on every engagement.
Inside your perimeter
Your AI licence. Your data residency. Your tenancy. We engineer inside your approved security boundary — your CISO doesn't need to approve a new vendor.