Plan & Policy
Digitizer.
Your AI and No-Code Policy Engineer for Instant Product Codification. Insurers and TPAs upload a PDF product brochure or policy document, and AI extracts, interprets, and fully codifies all benefit rules, coverage limits, exclusions, co-pay structures, and policy logic into machine-readable rules. These digitized rules power the auto-adjudication engine. Once ingested, all rules are editable via a no-code product builder, allowing non-technical teams to modify plan designs visually without developer involvement.
From paper policy to live adjudication rules in minutes.
AI reads your policy documents and converts them into machine-readable rules. Your product team edits visually. No developers required.
AI PDF Ingestion
Upload any policy document, product brochure, or benefit schedule as a PDF. AI reads, interprets, and extracts every benefit rule, coverage limit, exclusion, co-pay structure, and policy logic automatically.
Automatic Rule Codification
Extracted rules are converted into machine-readable logic that powers the auto-adjudication engine. No manual transcription, no developer involvement. Rules go from paper to production in minutes.
No-Code Product Builder
Once ingested, all rules are editable via a visual no-code interface. Product managers can create, modify, test, and deploy plan designs without writing code or raising IT tickets.
Plan Variant Management
Manage dozens of plan variants across group and individual lines from a single dashboard. Clone, modify, and launch new variants in minutes instead of weeks.
Rule Validation and Testing
Before deployment, AI validates rules for conflicts, gaps, and logical errors. Test plans against historical claims data to verify behavior before going live.
Instant Adjudication Sync
Codified rules sync directly to the real-time claims adjudication engine. The moment a plan is published, it is live across the entire provider network.
Upload, extract, review, and publish in four steps.
AI handles the complexity. Your team controls the output.
Weeks become minutes. Errors become zero. IT dependency disappears.
Minutes
Plan setup timeReduces plan configuration from weeks of manual data entry to minutes of AI-powered extraction. Launch new products and iterate on existing plans at the speed your market demands.
Zero
Transcription errorsEliminates the gap between what the policy document says and what the system enforces. AI reads the source document directly. No manual rekeying, no interpretation drift.
No IT
Dependency for plan changesNon-technical product managers own the full plan lifecycle. Create, test, modify, and deploy plan designs visually without raising developer tickets or waiting on IT queues.
Asia-First
AI policy codification at scaleInsurers and TPAs across Asia launch dozens of plan variants across group and individual lines. Most still manually key rules into legacy systems. AI ingestion combined with no-code editing is a massive time and accuracy gain.
Plug into your core system or run natively.
Use AI ingestion as a standalone layer on top of your existing policy admin system, or run natively on Mazecare Insurance OS.
Standalone via Open API
Integrate into your existing core insurance or policy administration system via REST APIs. Send PDFs in, receive codified rules back. Export rules to your adjudication engine or claims platform. Typical integration: 2 to 4 weeks.
Native on Mazecare Insurance OS
Codified rules flow directly into real-time adjudication, provider network enforcement, and member eligibility checks. End-to-end coverage from policy ingestion to claims settlement. Go live in days.
AI Model Agnostic. Your AI, Your Choice.
Choose, combine, or bring your own models for document extraction, rule codification, and validation.
Pre-integrated Models
Document extraction and rule codification models optimized for insurance policy documents, ready out of the box.
Open-source Models
Deploy open-source NLP and document understanding models within your own infrastructure for full data sovereignty.
Custom Fine-tuned
Train models on your specific policy language, regional benefit structures, and product taxonomy for higher extraction accuracy.
Bring Your Own API
Connect any external document AI, OCR, or NLP API. Use existing enterprise agreements and preferred vendors.
AI-powered codification, not manual data entry.
The only platform that reads your policy PDF and produces live adjudication rules in minutes with a no-code builder and its own AI-native OS.
| Feature | Legacy Core Systems | Manual Configuration | Middleware / API Layers |  |
|---|---|---|---|---|
| AI extraction from PDF policy documents | ||||
| Automatic rule codification | Partial | |||
| No-code visual product builder | ||||
| Plan variant cloning and management | Limited | Manual | ||
| Rule validation before deployment | Limited | |||
| Test plans against historical claims | ||||
| Non-technical team can own full plan lifecycle | Partial | |||
| Minutes from PDF to live adjudication rules | ||||
| Instant sync to adjudication engine | Slow | Slow | Partial | |
| Multi-language policy document support | Manual | |||
| Group and individual line support | Manual | Limited | ||
| Version control and audit trail | Limited | Partial | ||
| FHIR-native interoperability | Partial | |||
| AI model agnostic | ||||
| Own AI-native OS | Mazecare OS |
Frequently asked questions.
Any PDF policy document, product brochure, benefit schedule, or policy wording file. AI handles complex multi-page documents with nested rules, tables, appendices, and conditional logic. Supports English, Chinese, and other regional languages.
AI extracts rules with high accuracy and flags any ambiguous or conflicting clauses for human review. Every extracted rule is presented in the no-code builder for verification before deployment. Nothing goes live without team approval.
Yes. The builder is designed for product managers and operations teams with zero coding experience. They can create, edit, test, and deploy plan designs visually. No IT tickets, no developer dependencies, no delays.
Minutes. Upload the PDF, AI extracts and codifies the rules, your team reviews in the visual builder, and publishes. The rules sync instantly to the adjudication engine. What used to take weeks of manual configuration now takes a single session.
Yes. Clone any existing plan, modify specific rules, and launch new variants in minutes. Manage dozens of group and individual plan variants from a single dashboard with full version control.
Codified rules sync directly to the Mazecare real-time adjudication engine. The moment a plan is published, its rules are live and enforced across every connected provider. Or export rules via API to your existing core system.
Yes. Integrates with any core insurance system via REST APIs and HL7 FHIR. Use the AI ingestion and no-code builder as a standalone layer, or run natively on Mazecare Insurance OS for end-to-end coverage.
Ready to digitize your policy portfolio in minutes?
See AI Plan Digitizer in action with your own policy documents and benefit structures.