Real-Time Claim Validation

Artificial Intelligence solution to review claims instantly via an API integration to any Administrator's Claim Form and an interactive dashboard that presents results immediately as claims are reviewed.

Get Started

Fraud prevention is an emerging must-have for Claim's Administrators. Plug-in ClaimScore and have a leg up on your competition.

Proven Industry Leader

In a recent case, ClaimScore was utilized to compare the results of an Administrator's fraud analysis. ClaimScore was 78% more accurate, which prevented over $3M in fraudulent claims from being paid; and over $40M in total savings.

this is the meat and potatoes (and dessert)

The Fastest and Most Comprehensive Review Process on Earth

We have combined a 65+ point expert-system artificial intelligence algorithm with a neural-network machine learning system to ensure the highest level of accuracy possible; literally beyond humanly possible. This accuracy is stacked on a complex cloud-architecture that can live review 1,000's of claims/second, indefinitely.

Learn More →
Get Custom Insights

An Interactive Dashboard to Filter Results

Case stakeholders are able to review up-to-the-second claim results in our proprietary interactive dashboard. The dashboard includes a summary of approved class members, units/claims, and payout amounts.  In addition, a summary table of all claimants is provided with the claim results, deduction codes, and payout amounts.

Learn More →
1 Report for you and 1 for your client

A Report to Cover Due Diligence or Just a High-Level Overview

Users can filter data sets to drill down into specific claim cohorts. Once filters are applied users can choose to download Raw CSV Data files containing all details about each claim or PDF Insight Reports to get a more visual and statistical analysis of the case. Insight Reports provide aggregated results of valid and invalid claims, a timeline of claim submissions, as well as top claim sources and top deduction codes for spike timeframes.

Learn More →