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Healthcare · AI accelerator

Claims Router

Routes claims by payer, plan and likelihood-to-pay.

95%+
Clean-claim rate
−50 to −60%
First-pass rejections
Days → hours
Submission lag
4–6 months
Payback period
Cr
Claims Router
HLT · No. 11 of 117
What it does

Claims Router in production

  • Validates claims against payer-specific edit rules
  • Predicts likelihood-to-pay before submission
  • Routes clean claims straight to the clearinghouse
  • Queues at-risk claims for pre-bill review
  • Matches remittances to submitted claims
  • Tracks payer turnaround and rejection trends

45-second film: the Claims Router tile, an animated mockup and the KPI impact.

How it ships

Live in 6–9 weeks, inside your perimeter

Deployment options
On-premise (air-gapped)Private cloudManaged cloudHybrid
Integrates with
EpicOracle HealthChange HealthcareAvailityWaystarExperian Health
Technology stack
PythonLlama 3.1 70B (clinical-tuned)MilvusPyTorchLangGraph
Compliance & security
HIPAANHS IG ToolkitDPDPHITRUST CSFGDPRISO 27001

See Claims Router running inside your environment

A 20-minute technical walkthrough, no slides. Ships in 6–9 weeks.

Book a walkthrough →Browse the library →