Enterprise Claims Orchestration

AI co-pilot for insurance claims.

ECO-AI triages FNOL filings, scores fraud risk, estimates TIP and litigation exposure, and prepares settlement packages inside ChatGPT.

One-call orchestration

12 MCP tools for full FNOL-to-widget flows.

Human-in-the-loop

Binding reserves and status changes require authorization.

Intelligent Routing

Low-risk claims route FAST_TRACK automatically.

Four-stage workflow

Same lifecycle structure as a human adjuster — at machine speed.

Stage 01

FNOL & triage

Policy check, fraud score, document gaps, FAST_TRACK vs complex routing.

Stage 02

Investigation

Document parsing, timelines, and cross-reference for narrative gaps.

Stage 03

Policy analysis

Evidence, clause, analysis, and conclusion for every coverage question.

Stage 04

Settlement

Reserve math, communication drafts, and gated status updates.

Analytics Engine

Live insights into claim volumes, fraud probability distributions, and settlement velocities.

Total Active Claims
1,482
↑ 12% vs last week
Avg. Adjudication Time
4.2 Days
↓ 1.1 Days (Faster)
High Fraud Risk (SIU)
84
↑ 5 pending review

Claim Intake Volume (30 Days)

[ Interactive Bar Chart Rendering... ]

Routing Distribution

[ Pie Chart ]

API Engine

Submit FHIR claims, benchmark ICD-10 codes, and inspect adjudication responses directly against the ClaimsAPI.

Secure this session

Enter the ClaimGPT access key. It stays in this browser tab and is never saved to disk.

No key loaded

ClaimsAPI health

Check whether ClaimGPT is configured to reach the external ClaimsAPI service.

Connection result Idle 
Run a connection check to see configuration and health output.

ICD-10 benchmark

Benchmark diagnosis codes against the ClaimsAPI benchmark service.

Comma-separated codes
Benchmark response Idle 
Results appear here.

Submit medical claim

Paste a FHIR R4 Claim payload and submit through ClaimGPT to ClaimsAPI.

Submission response Idle 
Adjudication output appears here.

Retrieve response

Look up a ClaimResponse or claim status by response identifier.

Lookup output Idle 
Lookup results appear here.