How we use AI at Zimasa
We use AI to personalise nudges, time reminders, and spot patterns that need a human look.
- Engagement: next-best actions, timing, and program sequences
- Operations : pre-auth triage, claims anomaly signals, provider capacity insights
- Care Programs : risk signals and adherence nudges for coach review
- Data Quality : deduplication and code-mapping across systems (FHIR-first)nd adherence nudges for coach review
What AI Doesn't Do
It does not diagnose, prescribe, or decide employment outcomes. Material decisions require human review.
Transparency & Control
Plain-language explanations for suggestions/flags; consent-first processing; opt-out choices; auditable logs.
Governance We Follow
NIST-style risk management; ISO/IEC-aligned governance; Kenya DPA (consent, purpose limitation, automated decisions).