Claims Adjudication Dashboard
Review claim volume, decision quality, financial exposure, and automated rule outcomes from one clean operational view.
Core Operations
Evaluation Metrics
Claim Adjudication Pipeline
A simple view of how each claim moves from submission to decision.
01
Upload Files
Prescription and bills are submitted
02
Extract Data
Medical and billing fields are structured
03
Apply Rules
Policy limits and exclusions are checked
04
Record Decision
The claim is approved, rejected, or queued