Snowflake Cortex
assisted plan shopper
Navigating the intricacies of healthcare plan selection demands a
personalized approach that accounts for individual needs, preferences,and financial considerations.
Using our experience and leadership in the healthcare industry, we havecreated the GenAI assisted plan shopper solution that helps members
choose from different plan options. Our solution uses Snowflake Data
Cloud and Snowflake Cortex to handle large amounts of healthcare
data, based on member preferences, clinical profiles, various payer
sources (benefit documents, plan-specific formulary documents,provider directories, etc.) to generate personalized recommendations
for each member.

Plan shopper – technical flow
Knowledge basee5-base-v2
Snowflake
stage

Enterprise data•••

Chunking &Metadata tagging

Embed using
e5-basePlan Documents.
Formulary Drug.
Provider & Pharmacy details.
Vector store

Streamlit application
1

2

Post customer
query

Query response

3bQuery Embedding/Text to SQL

3aQuery embedding

Query generation & extraction

e5-base-v2
Formulary/drug data from Snowflake tables

5Embed using e5-base

4Response generation

Semantic searchQuery + created prompt context +Relevant paragraphSnowflake Cortex with Reka

Most relevant
content

Vector embeddings &metadata filtering

Key Solution highlights:• Automatic deciphering of user intent.
• Understanding context without explicit education.
• Maintaining chain of thought.
• Identifying synonymous/adjacent terms over and above prompt
keywords (e.g., dual eligibles).

Key business benefits
Personalized Plan Matching: Gen AI -powered solution analyzes healthprofiles, preferences, and budget constraints to recommend healthcare
plans to align with member’s unique needs and priorities.
Comprehensive Coverage Evaluation: Parsing various plan documents
using Cortex LLMs, to provide detailed insights to the users to have aclear understanding of their potential benefits and limitations.
Real-time Cost Estimation: Using Snowpark ML for predictive modelingand historical data analysis, our solution offers real-time cost estimations
for different healthcare scenarios, empowering users to make informed
decisions while considering potential out-of-pocket expenses.
Continuous Learning and Optimization: Incorporates the user feedback
and interaction data to continuously refine its recommendations,ensuring relevance and accuracy over time.

Cognizant (Nasdaq-100: CTSH) engineers modern businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stayahead in our fast-changing world. Together, we’re improving everyday life. See how at www.cognizant.com or follow us @Cognizant.

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