Interactive Live Sandbox

Live Claims Decision & Copilot Sandbox

Select any claim from the incoming queue below to inspect multimodal parsing, tariff cross-checks, Evidence Cards, and interact with the grounded ClaimCopilot™ assistant.

Incoming Claims Queue 4 Live Samples

CLM-2026-8891

Coronary Angioplasty
Rajesh Sharma, 54 M • Apex Heart Hospital • Dr. A. Verma

Financial Breakdown & Tariff Verification

Billed Amount
₹4,82,600
Tariff Discrepancy
-₹86,600
Policy Sublimit / Copay
-₹21,000
Payable Amount
₹3,60,000
Clinical Match 92%
Doc Integrity 81%
Tariff Match 64%
Network Risk 88%

Grounded Evidence Cards & Discrepancy Findings

ClaimCopilot™ Assistant
Grounded on 32 documents & ABDM health registry.
Human-in-the-Loop

Adjudicator Feedback & Continuous Self-Calibration

Every time a claims officer accepts or adjusts an AI recommendation, the feedback loop refines your insurer-specific risk thresholds.

1. Zero Black-Box Decisions

Claims are never rejected automatically. Adjudicators receive structured findings and maintain full authority.

2. False Positive Minimization

Continuous tracking of investigator conversion rates ensures claims teams aren't flooded with false alarms.

3. Immutable Audit Trails

Every user click, evidence card acceptance, and hospital query is timestamped for regulatory IRDAI compliance.

Ready to Test on Your Live Claim Batch?

Schedule an enterprise briefing with our AI leadership team and connect a sandbox trial with your core PAS.