9-Layer Processing Pipeline & ABDM Interoperability

Ingests itemized bills, handwritten notes, discharge summaries, DICOM angiography telemetry, helpline call audio, and email chains.

Deep medical OCR, table structure reconstruction, handwriting deciphering, language translation, and document type classification.

Normalizes diagnosis codes, validates surgical protocols, checks medication compatibility, and evaluates clinical necessity.

Extracts room rent caps, waiting period exclusions, copays, and negotiated hospital tariff rate cards without LLM hallucination.

Resolves patient ABHA IDs, doctor NMC registration numbers, hospital ROHINI codes, and historical claims across all entities.

Analyzes multi-entity graph density, circular referrals, and cross-hospital template reuse to flag syndicate clusters.

Generates atomic Evidence Cards with source page citations and calculates recommended payable amounts with transparent deductions.

Routes clean claims to automated STP settlement, amber claims to medical officers, and red claims to Special Investigation Units.

Investigator verdicts, confirmed recoveries, and false-alarm dismissals tune customer-specific risk thresholds continuously.