AI for health insurance in Africa

Automate health claims processing with AI

The health claims management platform for African markets. Reduce fraud, optimize operating costs, and accelerate your operations.

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Reimbursement approved

12,500 FCFA

Fraud detected

Non-compliant analysis

Start using AI today without changing your current software

Why ClaimsRun?

Process faster, control better

Our complete suite of tools automates health claims processing end-to-end

No more manual entry

Automatic extraction of invoices and prescriptions. Automate up to 100% of data entry.

Stronger control

Apply complex business rules and automatically check every claim.

Anomaly detection

AI identifies suspicious behavior, anomalies, and complex fraud.

Advanced reporting

Track claims through dashboards, AI analytics, and automatic alerts.

Without ClaimsRun

Slow manual entry
Long processing times
Inconsistent claims control
Shallow statistical analysis
Complex AI integration

With ClaimsRun

Automatic, reliable data extraction at 99%
Smooth processing
100% of claims verified before payment
Deep analysis, anomalies detected
Turnkey solution

Platform modules

Four complementary modules designed for a simple, efficient flow.

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

Automated claims intake

Full automation of benefit entry.

OCR and data extraction
Member and provider identification
Document verification
Coding and structuring of files

Pre-payment claims review

Smart checks before payment validation.

Business rule application
Pricing, duplicates, and consistency
Medical anomalies
Validity of supporting documents

Post-payment claims review

Post-payment analysis and proactive detection.

Deep and exhaustive analyses
Abnormal frequencies and trends
Detection of member/provider abuse

ClaimsRun