Unaccompanied Child Sponsor Identity Verification
How can ACF strengthen sponsor identity verification to reduce fraudulent sponsor applications? Throughout the process of sponsor vetting, there are various touchpoints where the…
Medicare AI Drug Search
Improved customer experience
Marketplace Qualified Health Plan Benefit AI Assistant (discovery)
Improved customer experience
Nutrition Education & Local Access Dashboard
The goal of this dashboard is to provide county-level information on nutrition education and local food access, alongside other metrics related to hunger and nutritional health. T…
ROE Document Recognition - RoeDR
The purpose of this model is to automate a slow manual process by analyzing documents from producers and Authorized Insurance Providers (AIPs), picking the appropriate page from t…
Automated Claims Processing
The purpose of the AI is to automate aspects of NCA benefits and application processing to decrease the case processing time and increase the customer service delivered to Veteran…
Call Center Knowledge Navigator
1. Inaccurate transcription of phone calls by the current system. 2. Need for enhanced time-to-effectiveness for new employees of the Education Call Center. 3. Improvements to qua…
National Training Team | Schools — FAQ Gen AI Dashboard
Categorization of large volume question submissions with suggested generated answers based on past-provided information.
TERA Memorandum Automation
The Toxic Exposure Risk Activity (TERA) Memo automation is intended to reduce the time that users spend manually researching and submitting answers for the TERA memo which is a re…
Automated Decision Support
Identify medical evidence for claims processing. Automated Decision Support (ADS) is the utilization of technology to maximize operational efficiency by reducing administrative ta…
Mail Automation Services
Mail Automation Services (MAS) is an if-this-then that (ITTT) logic-based service which is utilized to process inbound mail across the VBA enterprise, including the receipt of cla…
Master Claims Assistance Tool (M-CAT)
M-CAT is designed to automatically classify, extract, and validate critical information from diverse regulatory and/or policy references. This includes the automation of complex d…
Pension Optimization Initiative (POI)
VBA’s POI is a transformative effort that seeks a Managed Services Provider (MSP) to convert an existing manual business process into automated processing of Pension, Dependency I…
Smart Claim Check
Smart Claim Check (SCC) reduces avoidable claims processing errors by addressing the problem of manually reviewing extensive documentation by Veterans Service Representatives (VSR…
Automated Ratings Summarization
We are attempting to reduce the claims backlog and processing time. Additionally, there is a large volume of documentation on a Veteran's record - this tool is intended to reduce…
Service Period Validator (SPV) POC
Validate Veterans' service periods more accurately and quickly. This will ultimately save time and increase the quality of Veterans' decisions.
Claims Processing Automation Quality Auditor POC
In an automation-driven claims process, this tool will act as an entry point for quality reviews: Perform claims quality audits to identify and request NQA reviews or VCE correcti…
Generative Annotations
Veteran Service Representatives (VSRs) are required to annotate documents relevant to a Veteran claim so that subsequent reviewers are able to quickly reference information to mak…
Smart Pension Automation
Reduce the overall average of days to complete a pension related benefit claim. Currently, there is a batch claim processing system in place with Pension Automation that leverages…
Veterans Life Tailored
The VLT (Veterans Life Tailored) project, branded as VLT, leverages advanced AI technologies to tailor benefits and support services specifically for veterans. This project harnes…
Exam Verification Agent
The process for a Veteran Service Representative (VSR) to determine if an exam is warranted for a claim for increase (claims with end product [EP] 020) for a given contention requ…
Predictive Claims Processing Capability POC
Faster claims decisions for Veterans by predicting/performing claims adjudication without the need for a rules engine
Benefits Contention Classification Model
The Benefits Contention Classification model is intended to improve the current benefits adjudication process by providing an automated classification for all benefits claims cont…
Limited Payability Letter Automation
The re-issuance of a benefits payment following Limited Payability currently relies on manual steps that take an undetermined amount of time. Using AI will allow VA to automate th…