Adjudicate health claims 10x Faster & 3x Cheaper
Built for TPAs and Insurers to automate adjudication at scale with driving faster approvals, audit-ready outcomes, and measurable cost efficiency.
A digital adjudication team of specialized agents
Superclaims brings together a team of autonomous AI agents — each trained to mirror the expertise of domain specialists across the health claim lifecycle. Together, they form a coordinated adjudication workforce that reads, reasons, and decides 10x faster and with audit-grade precision.
Extracts and interprets pre-auth documents, validates eligibility and coverage, generates AI-backed recommendations: Approve, Query, or Reject.
Item-level scrutiny that flags non-payables, tariff mismatches, and policy violations. Ensures every rupee billed aligns with payer rules.
Understands medical narratives and diagnosis codes. Cross-checks necessity, admission validity, and treatment appropriateness.
Final reviewer that validates all agent outputs, detects anomalies and fraud indicators. Builds complete audit trails.
Transforming claims operations at scale
The Transformation
Superclaims transforms chaotic, unstructured claim documents into autonomous, auditable adjudication decisions — turning operational overhead into strategic infrastructure.
Defensible Moat
Proprietary adjudication protocols, curated clinical datasets, and explainable AI create a programmable core that shifts insurance from manual operations to scalable, intelligent systems.
From hospital to payment — zero manual steps
Structured + unstructured docs normalized with schema‑aware extraction.
Multi‑agent adjudication across clinical, regulatory, and financial logic.
Explainable decision, exceptions routed, payment triggers fired automatically.
Ready to make adjudication invisible?
Book a 30‑minute walkthrough with our team.