Claims Resolution Platform

Resolve healthcare claim disputes faster—by surfacing inconsistencies, policy deviations, and high-risk items with full audit traceability.

WHAT'S BROKEN

Challenges

Invoice operations break at scale. Agentic AI is required to restore control, accuracy, and speed across the invoice lifecycle.

Fragmented Invoice Data

Invoices arrive across emails, portals, ERPs, and scanned documents. Data stays siloed, inconsistent, and difficult to standardize in real time.

Slow Approval Cycles

Approvals move across disconnected systems and stakeholders. Delays result in missed SLAs, late payments, and strained vendor relationships.

Manual Validation Overload

Line-item checks, tax validation, and PO matching depend on manual effort. Exceptions accumulate faster than teams can review and resolve.

Limited Audit Traceability

Invoice decisions lack end-to-end visibility and context. Audits require manual reconstruction instead of instant, explainable records.

HOW WE FIX IT

What Defines Us

Claim document ingestion (EOBs, medical records, supporting docs)
Semantic & code-level anomaly detection
Policy deviation & coverage gap identification
Discrepancy tracing across claim versions
Cross-claim entity correlation (patient, provider, diagnosis)
Risk prioritization & issue scoring
Audit-traceable insight lineage
Configurable rules & threshold engines
Expert-in-loop validation support

Healthcare claims resolution built for precision, transparency, and governance.

The Claims Resolution Platform is crafted for payers, providers, and legal teams navigating complex disputes, denials, and audits. It ingests diverse claim and medical record documents, then applies domain logic to detect inconsistencies, deviations, or anomalies.

Each flagged insight links directly to its source—enabling verification and compliance. At scale, the system correlates related claims (e.g., across providers, patients, or episodes), and surfaces the highest-risk items for focused review. Its configurable rules engine adapts to new policies or coverage models. When experts intervene, feedback refines future decisions—ensuring continuous improvement.

This is not just “faster claims”—it’s reliable, verifiable claims resolution tailored for healthcare complexity.

WHAT YOU GET

Template-free, Accurate Invoice Data
Extraction — in a Few Clicks

Analyze claim documentation, flag anomalies, and reconcile service details—all while retaining direct links back to source content. Allow your team to act on validated decision-ready intelligence, not fragments.

0%

Accuracy

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Efficiency Improvement

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Cost Saving

0x

Faster than Human

SEE IT IN ACTION

See Resolution Intelligence in Action

Observe how the platform surfaces claim discrepancies, policy deviations, and resolution paths—turning dispute workloads into actionable, auditable insight.

AI Workflow Automation

Automate the entire invoice processing workflow from capture to payment. End-to-end automation

Intelligent Chat Interface

Interact with invoices using natural language queries. Ask questions, get insights

Real-time Dashboard

Monitor invoice processing metrics and status in real-time. Live updates and analytics

Detailed Invoice Summary

Get comprehensive summaries and validation of invoice data. Accurate extraction and validation

AI Workflow Automation
Intelligent Chat Interface
Real-time Dashboard
Detailed Invoice Summary

See Resolution Intelligence in Action

Observe how the platform surfaces claim discrepancies, policy deviations, and resolution paths—turning dispute workloads into actionable, auditable insight.