Healthcare
Catch claim problems before the insurer does.
Claims come back for small things: a date that doesn’t match, a missing notification, a name spelled two ways. This checker reads the whole claim file before it is submitted and lists exactly what to fix.
Capability demo · built by us, not client workTry it
1 · Pick a claim file
Documents in the file
2 · Result
Pick a claim on the left and press “Check this claim”.
Simulation. Sample claim files for a fictional hospital and a sample insurer. The production version reads your real documents, including scans and PDFs, with a document AI model and applies the rules you configure for each insurer.
What it handles
- Missing documents for the claim type
- Names, dates, codes and amounts that conflict across documents
- Insurer rules: pre-approval, notification deadlines, referral requirements
- A fix list your staff work through before submitting
- A rejection-risk rating for every claim
What it never does
- Submits or changes a claim on its own: your staff decide
- Changes a diagnosis or code: it flags, a clinician or coder confirms
- Hides its reasons: every finding names the documents it compared
How we build it for you
- Weeks 1–2CollectPast claims, including rejected ones, and each insurer’s rules.
- Weeks 3–4ReadDocument AI tuned to your forms, scans and invoice layouts.
- Weeks 5–6CheckRules and cross-checks, tested on claims whose outcome you already know.
- LaunchMeasureShare of claims sent back, time to payment, the most common fixes.
What it costs
Typical build $25,000 – $60,000 over 6 to 10 weeks, depending on how many insurers and document types it covers. It starts with an AI Opportunity Audit ($4,900, credited to the build).
Document processing and model usage run on your own cloud account, so you see the running cost directly.
Prices outside USD are estimates. All invoices are issued in USD.