OMB Individually Reported

Predictive Claims Processing Capability POC

High riskExact public inventory row

Description

Faster claims decisions for Veterans by predicting/performing claims adjudication without the need for a rules engine

Detailed example

Proposed decision on Education Benefits

AI / analytics pattern

Natural Language Processing: AI that processes, interprets, and shares information in human language.

Automation level / stage

a) Pre-deployment – The use case is in a development or acquisition status.

Expected benefit

Increased efficiency, faster decisions for veterans, and improved veteran experience.

Controls / human review

ATO: Not reported; PIA: Not published