Intake
No more manual entry
Automatic extraction of invoices and prescriptions. Automate up to 90% of data entry.
AI for health insurance
Automate health claims processing
The health claims management platform for African markets. Reduce fraud, optimize operating costs, and accelerate your operations.
Your teams stay in control of every decision
Medical invoice3 pages · 1.8 MB
Data extracted22 structured fields
Rules verifiedPricing, duplicates, consistency
Anomalies analyzedClinical and behavioral review
Proposed decisionReady for validation
1 point to review
Web portal or API
Use it immediately without changing your current software
For insurance companies, brokers, claims managers, and TPAs
Why ClaimsRun?
Process faster, control better
Our complete suite of tools automates health claims processing end-to-end
Control
Stronger control
Apply complex business rules and automatically check every claim.
Detection
Anomaly detection
ClaimsRun identifies suspicious behavior, anomalies, and complex fraud.
Oversight
Advanced reporting
Track claims through dashboards, AI analytics, and automatic alerts.
Before / After
Move from reactive processing to confident control
ClaimsRun fits into your existing workflow and focuses your teams' attention where their expertise matters most.
Without ClaimsRun
With ClaimsRun
Slow manual entry
Automatic, reliable data extraction at 98%
Long processing times
Smooth processing
Inconsistent claims control
100% of claims verified before payment
Shallow statistical analysis
Deep analysis, anomalies detected
Complex AI integration
Turnkey solution
One complete workflow
Platform modules
Complementary modules designed for a simple, efficient flow.
01
Prior authorization management
Faster decisions, easier medical validation.
- Business rules and treatment consistency
- Patient claim history
- Automatic validation with medical review
- Medical review in case of rejection
02
Automated claims intake
Full automation of benefit entry.
- OCR and data extraction
- Member and healthcare facility identification
- Document verification
- Coding and structuring of files
03
Pre-payment claims review
Smart checks before payment validation.
- Business rule application
- Pricing, duplicates, and consistency
- Medical anomalies
- Validity of supporting documents
04
Post-payment claims review
Post-payment analysis and proactive detection.
- Deep and exhaustive analyses
- Abnormal frequencies and trends
- Detection of member/provider abuse
FAQ
Frequently asked questions
ClaimsRun is an AI platform that automates health claims management, analysis, and control: data extraction from documents, cross-checks with your reference data, anomaly detection, and instant summaries for your teams.
ClaimsRun can be used through our web application by importing documents and/or Excel data exports from your software. It can also be integrated directly into your system through its API.
ClaimsRun extracts information from scanned documents (invoices, prescriptions) and analyzes them automatically. It applies business rules, identifies anomalies and fraud, allowing medical advisors and claims teams to focus on complex cases.
Yes. ClaimsRun provides an API that your developers or vendor can integrate easily. ClaimsRun does not replace your system; it enhances it.
Some features are immediately available through the web application. For full API integration, timelines depend on your current infrastructure, but we target a rapid rollout within a few weeks.
Let's talk about your operations
Ready to accelerate your processing?
Tell us how your current workflow operates. We will show you exactly where ClaimsRun can shorten lead times and strengthen controls.