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Generative AI Development in the Health Insurance Sector: Consultation Process
Projektdauer: 11 Monate
Kurzbeschreibung
The Discussion Procedure project focuses on developing an application that supports the processing and analysis of medical documents within the context of healthcare discussion procedures. The goal is to automatically identify relevant information, classify document types, and improve the efficiency of manual processing. PTA develops and maintains the application, implements new requirements, and performs testing activities. In addition, PTA supports the optimization of automated document processing and classification. Technically, the project is based on Python and modern web technologies, combining rule-based approaches with AI-supported methods.
Ergänzung
The system environment consists of Python-based backend components, REST APIs, a web-based user interface, version control with Git, and automated CI/CD processes. PTA is involved in the implementation and further development of features, bug analysis and resolution, testing activities, and the optimization of document processing and classification methods. The project utilizes both rule-based approaches (e.g., regular expressions) and AI-supported methods for processing medical documents.
Fachbeschreibung
he Discussion Procedure supports the structured processing and evaluation of medical documents within the context of review and discussion procedures in the statutory health insurance system. Its goal is to identify relevant information more quickly, classify documents more efficiently, and facilitate professional case handling. This helps standardize workflows, reduce manual effort, and improve the quality and traceability of decisions. Discussion procedures are used for the professional review and clarification of medical matters between healthcare providers and health insurance organizations. The system supports employees in reviewing, structuring, and evaluating the related documentation.
IT-Projektdaten
- Branchen Gesetzliche Krankenkasse
- Fachaufgaben KI: Allgemein
- DV-Aufgaben customised software further development
- Systemumgebungen Artificial Intelligence (AI), Client/Server, standard software: APS systems
- Vorgehensmodell agile software development
- Programmiersprachen Python
- Entwicklungs- und Testtool GitLab
- Standardsoftware und BI JIRA
- Middleware und Frameworks Azure App Service
Projektzeitraum01.02.2026 - 31.12.2026
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