Intelligent Medical Language Analysis Generation (IMAGEN)
This AI use case helps employees visualize, search, and more easily identify relevant clinical content in medical records. The use case improves efficiency and accuracy of disabi…
Pre-Effectuation Review (PER) / Targeted Denial Review (TDR) Models
This AI use case identifies high likelihood of error in certain claims and refers them for review. This use case reduces incorrect benefits payment.
Continuing Disability Review Model
This AI use case identifies disability cases with the greatest likelihood of medical improvement and flag them for a continuing disability review to improve the accuracy of progra…
Social Security Income (SSI) Redetermination Model
This AI use case identifies SSI overpayment cases that have highest expected overpayments for review.
Proactive Triage and Analysis of Hearings (PATH)
This AI use case flags high likelihood favorable claims and refers them to human adjudicators for further review to determine eligibility for on-the-record hearing decisions.
Quick Disability Determinations Model
Used to screen initial applications to identify cases where a favorable disability determination is highly likely and medical evidence is readily available to prioritize this work…
Policy Assistance Tool (PAT)
The system is designed to help employees quickly and easily find accurate policy information, improving efficiency and the user experience for those who need to access agency poli…
Vocational Assessment Assistant Tool (VAAT)
The AI is intended to address the problem of a manual, time-consuming, and expertise-dependent process for researching job codes and analyzing transferable skills, which can resul…
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…
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…
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…
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…
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…
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…