Mavera DSS for health insurance

Ensuring optimal treatments for your customers

Your customers rely on you to secure the best and most appropriate medical treatments for their conditions. The challenge? Determining the most suitable treatment can be complicated. Mavera helps you navigate this complexity efficiently and confidently.
Mavera care giver performance illustration

Assess caregivers' offers efficiently

We empower insurers to critically assess caregivers' offers, ensuring treatments align with medical necessities, not business motives.

Reduced medical costs and patient risks

By optimizing treatment choices, you reduce overall medical costs and mitigate risks to patients.

Evidence-based audits

Our system fosters a data-driven approach, allowing for comprehensive and evidence-based audits of caregivers' practices.

Control over caregivers' offers

Gain greater oversight of recommended treatments, ensuring they are in your customers' best interests and identify deviations and overall trends.

Play Video

Watch as Johan Larsson unveils our new functionality for health insurance.

Illustration of calims manager having an audit with a care giver using Mavera care giver report

How it works

Upload the case to Mavera DSS for an instant, clear overview of the injury, complete with a timeline of all medical events.

Receive AI-based evaluations of treatment offers and whether a second opinion is warranted.

Automatically assign the claim to the most suitable medical advisor, in-house or within the Mavera network.

Based on the medical assessment, you are now equipped to approve or decline the treatment confidently.

Utilize aggregated assessment data for monitoring suppliers, identifying, and addressing patterns in unnecessary treatment recommendations.

Health insurance caregiver performance in Mavera DSS

Caregiver performance report

Obtain detailed insights into caregiver performance. Identify suppliers who often suggest medically unnecessary treatments and take informed steps to reduce costs.
Mavera DSS case review for health insurance

Recommendations on if a case require medical evaluations

Benefit from AI-driven recommendations for identifying claims that require a medical advisor’s review versus those suitable for desktop assessments.
Illustration of assigning claim to medical advisor in Mavera DSS

Structured medical assessment process

Automate the assignment of cases to medical advisors and streamline material sharing, ensuring efficient assessments for informed decision-making.


Compatible with both in-house doctors and Mavera’s extensive network.

Mavera DSS Medical timeline

Medical timeline

Accelerate your understanding of claims with Mavera’s ability to organize and visualize medical data on a timeline, tripling your reading efficiency.

Read more

Navigating the European health insurance market - an opportunity with challenges

With a staggering predicted growth of over 70% from 2020 to 2030, the European health insurance market provides a significant opportunity for insurance companies but also some new challenges.

Everything you must know about Mavera's network of medical advisors

Every insurer needs affiliated medical advisors to cover every injury. Mavera offers medical advisors from every medical specialty. In this article, I will take you through everything you need to know about our network of medical advisors.

How Mavera DSS strengthens the claims handlers' capabilities

Let's look at how Mavera Decision Support System (DSS) can enhance the accuracy and efficiency of personal injury claims handlers.