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.
Talk to salesSuperclaims is an AI-powered health claim adjudication engine designed to automate the end-to-end claims review process for insurers and TPAs.
The platform converts unstructured claims documents into structured adjudication decisions, significantly reducing manual effort while improving accuracy, speed, and auditability.
We support both IPD and OPD claim adjudication.The Impact
Intelligent Multi-Agent Architecture
Deploying specialized AI agents across the claims lifecycle to evaluate, detect, and generate decision-ready outputs with a complete, transparent audit trail.
Administrative Evaluation
Automates initial intake, policy verification, and standard data extraction.
Clinical Review
Cross-references medical records and billing codes for clinical accuracy and necessity.
Anomaly Detection
Flags potential Fraud, Waste, and Abuse before payouts are authorized.
Decision & Logging
Generates decision-ready outputs backed by a step-by-step verifiable audit trail.
Our AI engine extracts 100+ structured attributes, bills, and categorizes line items automatically to ensure absolutely compliant claim decisions
and performs comprehensive validation:
Superclaims integrates seamlessly with Insurer or TPA systems via API, TMS integration, or a secure portal, enabling faster turnaround times.
Ready to make adjudication invisible?
Book a 30‑minute walkthrough with our team.