Software and artificial intelligence for health insurance

ACATANGO is a software publisher and consulting firm specialising in international health insurance.

We design software and support industry players in automating their operations, improving healthcare cost control and integrating artificial intelligence into their processes.

Software
Consulting
Applied AI

Expertise grounded in health insurance operations

ACATANGO draws on practical knowledge of health insurance operations and on-the-ground realities, particularly in emerging markets.

We combine business expertise and artificial intelligence to design reliable, pragmatic solutions tailored to the needs of insurers, brokers, administrators and TPAs.

Start from real-world operational needs

We start with existing processes, available data, operational constraints and user needs.

Our goal is simple: design solutions that reduce manual tasks, improve the quality of controls and truly integrate into day-to-day operations.

Existing processes

Available data

Operational constraints

User needs

Solutions integrated into day-to-day operations
ClaimsRun

A SaaS platform developed by ACATANGO

ClaimsRun

Automate claims management and strengthen health claims control

ClaimsRun is the SaaS platform developed by ACATANGO.

It automates the different stages of claims management: receiving documents and data, OCR, information extraction, business checks, analysis and results reporting.

ClaimsRun also helps teams detect anomalies, better control healthcare spending and analyse beneficiaries, providers and portfolios.

The platform integrates with reimbursement, third-party payment and pre-authorisation processes, while keeping human validation where it is needed.

Discover ClaimsRun

Documents and data

OCR and extraction

Business checks

Analysis

Human validation

Improve management and control processes

ACATANGO supports insurers, brokers, administrators and TPAs in improving their operations:

  • reimbursement and third-party payment management
  • pre-authorisation processing
  • claims control
  • fraud prevention
  • healthcare cost management
  • data quality and use
  • management process optimisation

Our work ranges from process analysis to defining practical solutions, control rules and operational roadmaps.

Integrate AI where it creates real value

ACATANGO helps health insurance organisations identify relevant uses of artificial intelligence and integrate them into their operations.

We support needs assessment, data preparation, prototype design and the deployment of solutions adapted to business processes.

The goal is not to add AI for its own sake, but to simplify an operation, strengthen a control or better prepare a decision.

Contact

Let’s talk about your health insurance operations

Would you like to automate a process, improve your controls or integrate artificial intelligence into your operations?