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Amplify Health has won the Innovation Impact Award at the 2026 Insurtech Connect (ITC) Asia Awards on July 1 - the second consecutive year the health AI platform and analytics company has been honoured by ITC Asia, having clinched the Technology Initiative Excellence Award in 2025.

This year, Amplify Health was recognised for its Systemic Flexibility approach to health payor modernisation - a breakthrough in platform architecture and deployment model that resolves longstanding challenges in transforming legacy claims systems, and has demonstrated measurable real-world impact for a major health payor in APAC.

"Winning this award affirms that Amplify Health's Systemic Flexibility approach represents a genuine architectural breakthrough rather than an incremental improvement on existing paths." - Dr Axel Baur, Chief Executive Officer, Amplify Health

Legacy claims systems across APAC were built for a simpler healthcare reality - limited benefit structures and straightforward provider fee schedules. Both have since grown substantially in complexity and variation: benefit arrangements today span intricate coverage tiers, exclusions, and member-specific variations, while provider tariff agreements cover procedure-level fee schedules negotiated across expansive, varied networks. The gulf between what these systems were built for and what claims operations now demand has become a structural incompatibility - one that human assessors have increasingly been called upon to bridge. For health payors, the traditional response has been to scale headcount proportionally: more assessors to process more claims, more staff to reconcile more inconsistencies across fragmented systems. This creates a fundamental constraint on profitable growth - expanding membership and provider networks requires commensurate increases in operational costs, compressing margins and capping scalable growth. Amplify Health's platform breaks this linear headcount dependency by transforming the entire claims lifecycle - from intake through adjudication and fraud detection - into an AI-augmented, clinically-informed workflow.

The platform integrates four AI-powered components: i) an NLP-enhanced data extraction engine that converts paper, PDF, and digital claims into structured FHIR-compliant data; ii) a clinical encoder that uses generative AI to translate clinical notes into standardised codes; iii) a unified claims adjudication engine with no-code rule configuration; and iv) a granular fraud, waste and abuse (FWA) detection module.

From fragmented vocabularies to a single clinical language

Amplify Health's platform is designed to address the heterogeneity of clinical documentation across Asian markets - where local clinical nomenclature and market-specific billing conventions coexist alongside international schemas - by intelligently translating unstructured free text in health claims into standardised clinical codes.

This clinical standardisation creates a unified semantic layer across the entire claims system - from policy benefits and provider contracts to clinical guidelines for incoming claims - ensuring all components speak the same clinically precise language based on 50+ international standards (including ICD-10, CPT, and ATC) and local schemas relevant to individual APAC markets. This eliminates the semantic ambiguity and subjective interpretation gaps that conventional platforms leave assessors to bridge manually, enabling health insurers to make consistent claim decisions across varied clinical scenarios.

With every decision recorded in the same format, AI models can also learn from each adjudication decision, gradually expanding the range of claims that can be automatically processed over time.

Amplify Health's platform delivers clinical coding at scale with rigorous accuracy through multi-stage generative AI that decomposes complex clinical coding tasks into sequential steps, with human-in-the-loop quality assurance. "Confidence assessment built into the encoding architecture means that cases falling outside reliable coding distribution are routed for expert human review rather than processed with misplaced certainty," said Baur.

Hours to Seconds: The Operational Transformation in Numbers

Within its first year, Amplify Health's platform delivered measurable improvements for a major health payor in APAC. Automated claim decisions grew from 0% (fully manual) to ~50%, (with a clear pathway to 80% automated coverage by year four) – with a validated accuracy rate of >90%. Claims leakage capture improved from 5% under legacy random spot audits to 40% through systematic line-item detection, and is projected to reach 80% by year five.

Amplify Health's FWA detection system pinpoints specific irregularities – overcharging at procedure code level relative to contracted tariffs, service combinations departing from expected clinical pathways, and procedure-diagnosis mismatches – rather than flagging entire claims for reassessment. This preserves efficiency while creating documented audit trails that support regulatory compliance and, over time, systematic deterrence.

"There is now full end-to-end auditability," said Baur, "with every decision, rule application, and manual override completely traceable – replacing the opacity of legacy workflows."

For policyholders and providers, the impact flows through as faster, more consistent claims decisions and fewer payment disputes arising from inconsistent adjudication. "More broadly, by enabling insurers to manage medical costs with unprecedented precision, the platform supports the long-term sustainability of affordable health coverage – moderating the premium increases that have increasingly placed quality healthcare out of reach for growing population segments across the region," said Baur.

Breaking the Link between Growth and Overhead

Amplify Health's deployment model overcomes the fundamental limitations of conventional transformation paths. Unlike middleware solutions, which insert connectivity layers between legacy systems without resolving underlying data fragmentation, or rip-and-replace approaches that carry significant operational disruption risk, Amplify Health delivers a fully integrated system while transitioning clients incrementally – protecting day-to-day business throughout.

And unlike typical modular phased migration solutions that follow a fixed deployment sequence based on business capability or architectural layer, Amplify Health's implementation begins with rigorous analysis of an insurer's actual claims universe to build a customised rollout plan – determining which claim categories to automate first based on complexity and return on investment. The integrated platform is deployed end-to-end but activated gradually across expanding claim categories, allowing the tacit knowledge accumulated in experienced assessors' heads – undocumented rules and unwritten exceptions that conventional migration approaches cannot capture upfront – to surface progressively through live operations and be encoded as durable, auditable logic.

"It creates the conditions for genuine operational transformation: where AI models can learn from every adjudication decision, where individual assessor judgement becomes collective institutional knowledge that compounds over time, and where operational capacity scales with membership growth rather than against it," said Baur.

"Amplify Health's human-in-the-loop configuration model is a pragmatic approach to scaling AI capability by progressively capturing and codifying the tacit knowledge of experienced claims assessors. Rather than replacing expertise, it enables that expertise to become a scalable organisational asset." - Benjamin Ang, Vice President, Singapore Insurance Institute (on behalf of Board of Judges, 2026 ITC Asia Awards)

Amplify Health's integrated platform provides a new architectural foundation for insurers – allowing them to operate more efficiently and positioning them to manage healthcare's accelerating complexity. "For an industry where network growth and operational cost have long been coupled through linear headcount dependency, that represents a genuine paradigm shift," said Baur.

"Last year's Technology Initiative Excellence Award recognised Amplify Health's foundational capability in tackling health data fragmentation – giving insurers visibility into medical cost drivers and fraud patterns at a level of granularity that legacy systems could never support," said Baur. "This year's Innovation Impact Award recognises our breakthrough in system architecture: translating that clinical encoding foundation into a unified semantic layer that transforms operations across the entire claims lifecycle."