superclaims.ai

Adjudicate health claims& 10x Faster 3x Cheaper Built for TPAs and Insurers to automate adjudication at scale with driving faster approvals, audit-ready outcomes, and measurable cost efficiency.

Talk to sales See a live demo 5 min TAT 70% Cost reduction 99% Accuracy A digital adjudication team of specialized agents Superclaims brings together a team of autonomous AI agents — each trained to mirror the expertise of domain specialists across the health claim lifecycle.

Together, they form a coordinated adjudication workforce that reads, reasons, and decides 10x faster and with audit-grade precision.

Pre-Authorization Agent Extracts and interprets pre-auth documents, validates eligibility and coverage, generates AI-backed recommendations: Approve, Query, or Reject.

Non-Medico Validation Agent Item-level scrutiny that flags non-payables, tariff mismatches, and policy violations.

Ensures every rupee billed aligns with payer rules.

Medico Review Agent Understands medical narratives and diagnosis codes.

Cross-checks necessity, admission validity, and treatment appropriateness.

Audit & Compliance Agent Final reviewer that validates all agent outputs, detects anomalies and fraud indicators.

Builds complete audit trails.

Transforming claims operations at scale 70% cost reduction Automated adjudication with surgical exception handling 90min

5min TAT Instant cashflows, measurably happier customers 99% operational precision Explainable decisions with complete audit trails 100k+ claims/month Linear scale without linear headcount growth Improved loss ratios Better reserves, reduced leakage, optimized outcomes The Transformation Superclaims transforms chaotic, unstructured claim documents into autonomous, auditable adjudication decisions — turning operational overhead into strategic infrastructure.

Defensible Moat Proprietary adjudication protocols, curated clinical datasets, and explainable AI create a programmable core that shifts insurance from manual operations to scalable, intelligent systems.

From hospital to payment — zero manual steps 01 Ingest Structured + unstructured docs normalized with schema‑aware extraction. 02 Reason Multi‑agent adjudication across clinical, regulatory, and financial logic. 03 Settle Explainable decision, exceptions routed, payment triggers fired automatically.

Ready to make adjudication invisible?

Book a 30‑minute walkthrough with our team.