Clean claims.
Fast settlements.
Built-in claims adjudication engine automatically validates and approves claims at discharge, reducing rejections, accelerating payments, and eliminating r
Instant adjudication before the patient leaves.
Claims are automatically adjudicated during discharge based on policy rules, eliminating submission delays and payment uncertainty.
No paperwork. Less rework.
Get instant approval confirmation at discharge with no waiting or paperwork.
Real-time adjudication
Automatic approval while the patient checks out with a confirmed payment amount immediately.
Faster settlements
Auto-adjudicated claims settle in days with predictable revenue and improved cash flow.
From checkout to claim approval. Fully automated.
See how automatic adjudication during discharge with instant approval decision and payment confirmation works.
Robust insurance & claims engine.
Works for individual insurance, corporate panels, government schemes, and integrated care networks.
Real-Time Adjudication Engine
Instant claim decisions based on policy rules and benefit limits during patient discharge.
Visual Rules Builder
Configure adjudication logic without coding using drag-and-drop interface for business users.
Clinical Appropriateness Validation
Diagnosis-procedure matching, medical necessity, and age-gender rules validated automatically.
Multi-Level Financial Checks
Annual caps, lifetime maximums, per-visit limits, category-specific limits enforced automatically.
Exclusion & Waiting Period Logic
Auto-reject claims for excluded diagnoses, pre-existing conditions, and active waiting periods.
Coordination of Benefits
Calculate primary and secondary insurance responsibilities for patients with multiple policies.
Fraud Detection Algorithms
Pattern analysis for duplicate claims, unbundling, upcoding, and unusual utilization.
Manual Review Workflow
Queue high-value or complex claims for review with full clinical context.
Instant Provider Notification
Real-time approval or rejection with detailed reason codes before patient discharge.
Settlement Automation
Automatic payment queuing with configurable cycles and batch processing.
Complete Audit Trail
Full history of decisions, rules applied, and actions for compliance.
Adjudication Analytics
Dashboards showing approval rates, processing time, rejection reasons, and settlement performance.