AI powered Claim Review

Electronically submit claims via EDI, SFTP, or secure upload—our Intake AI Agent automatically converts every file into clean, structured data. You get a real-time view of submissions and ingestion status, with clear indicators for what’s been received, processed, or needs attention. Monitor claim volumes, spot errors early, and track throughput end-to-end so your team always knows exactly where each claim stands.

Our AI chatbot understands all documents associated with a claim and extracts the insights you need to make decisions as an adjuster. You no longer have to read through 100+ pages—just ask it to summarize, then chat with the agent to quickly surface the most important details for your decision.

Our claim review AI agent evaluates highly complex, constantly changing reimbursement rules at both the state and federal levels, along with all supporting documentation. It recommends optimal pricing with clear reasoning at both the line-item and full-claim level, saving you countless hours of looking up rules and trying to stay current with every change.

Our Invoice AI Agent understands the rules and contracts you have with each client and automatically generates invoices in their preferred templates. The entire process is fully automated—with notifications, emails, and scheduled reporting—so you never have to manually manage invoicing again. The system creates, sends, and tracks invoices for you, giving you a clear, real-time view of accounts receivable.

Our Reporting AI Agent ensures you never lose visibility into what’s going on. Instantly see which claims need attention, how your business is performing, which clients are sending how many bills, what’s overdue, what’s waiting for action, and the status of your accounts receivable. It delivers real-time dashboards plus aggregated weekly and monthly trends, giving you deeper insights to run a smarter, more proactive claims operation.

Our platform is a secure, cloud-native system that’s fully customizable to your business rules, workflows, and integrations. We handle all the heavy lifting—scalability, data security, uptime, and continuous updates—so your team can focus on running the business, not maintaining software and infrastructure.