Listed among 25 key players — Intel Market Research 2025

The Intelligence Layer for
Health Claims.

Two-gate validation through Claim Transformer Cortex™ – checks completeness, extracts data, routes exceptions. Your TPA platform settles faster.

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15,000+
Claims Processed
8x
Faster Processing
40+
Document Types
6+
Languages
claims-intelligence-api / v2
live response
POST /v1/claims/extract// ── Gate 1: Sentinel ──────────────completeness: "passed"missing_docs: []doc_classes_found: ["ipd_bill","rx","lab"]// ── Gate 2: Parser ────────────────patient_name: "Ramesh K."diagnosis_code: "J45.1"admission_date: "2025-03-14"total_billed: 12450.00confidence: 0.97fraud_flags: []processing_ms: 1842



Trusted by TPA leaders


TrueCover India
Production Deployment
15,000+ Claims Processed
Asia-Pacific Focused






The challenge

TPAs face mounting operational pressure


Manual processes, document complexity, and rising claim volumes are compressing margins and stretching teams.




Processing Speed


Manual document review creates settlement delays and customer dissatisfaction. Average 40 minutes per claim with current manual workflows.




Operational Costs


Staff hours spent on repetitive data entry and validation drain operational budgets without proportional business value.




Claim Leakage


Incomplete submissions, fraud, and processing errors increase costs and create regulatory compliance exposure for TPAs.




Scale Challenges


Volume growth without proportional staff increase creates backlogs, burnout, and deteriorating service quality.







How it works

Two-Gate Validation Architecture


Every claim passes through a completeness check before extraction begins. No bad data enters the pipeline.



Ingest

Document Received


Submitted via REST API, SFTP, Email, AWS S3, or Cloud Storage



PDF & scanned documents

Handwritten prescriptions

Digital files



Gate 1 · Sentinel

Completeness Check


Validates all required documents are present before processing begins. Blocks incomplete submissions.



Missing document detection

Reject before extraction

40+ doc class coverage



Gate 2 · Parser

Extract & Validate


OCR + GenAI extracts all fields with per-field confidence scoring. Low-confidence fields routed to HITL.



94% auto-validated fields

HITL on low-confidence only

Real-time fraud detection



Output

Structured JSON


Clean, client-specific JSON delivered to your TPA platform via REST API in seconds



Client-specific schema

Audit-trail included

Compliance-ready output




See complete processing flow







Business impact

Measurable results from day one


Quantifiable improvements across speed, cost, accuracy, and scale — in production today.



Faster Settlement

8x

Process claims in minutes, not hours. Cut adjudication cycles dramatically and improve member experience.




Before

40 min




After

5 min




Lower Processing Costs

94%

Fields auto-validated. Staff review only low-confidence fields, not entire documents. Radically fewer manual touches per claim.



Prevent Claim Leakage

3

Real-time fraud detection layers applied during extraction. Catch irregularities before settlement.



Rx Validation
Invoice Check
Doc Authenticity


Scale Without Hiring

∞

Handle volume spikes without adding headcount. The API scales instantly to process thousands of concurrent claims.







Why TPAs choose us

Built for health insurance.
Not adapted to it.



01

Health Insurance Specialist


Purpose-built for OPD and IPD claims. Trained on 40+ health insurance document types, not generic documents.



02

Blocks Incomplete Claims Early


Gate 1 validation stops bad submissions before they consume processing resources. Zero wasted compute on incomplete files.



03

Field-Level Human Review


Only low-confidence fields flagged for HITL review. Reviewers focus on exceptions — not whole documents.



04

Real-Time Fraud Detection


Prescription-pharmacy matching, invoice arithmetic validation, and document authenticity checks run during extraction.



05

Zero Platform Disruption


REST API. Plugs into your existing TPA system. No UI changes required. No retraining of staff. Live in 4–6 weeks.







Product capabilities

Built for the Asia-Pacific
health insurance ecosystem


Every capability purpose-designed for the document types, languages, and workflows of APAC health insurance TPAs.



40+

Document Types

OPD & IPD Coverage


OPD: 15 document classes • IPD: 25 document classes. Covering every document in the claims lifecycle.



Claim Forms
Prescriptions
Hospital Bills
Lab Reports
Discharge Summaries
GISPA Declaration


Explore all document types



6+

Languages Supported

Asia-Pacific OCR


Handwritten prescription support across all languages. Trained on real-world APAC claim documents.



Hindi
Bahasa Indonesia
Thai
Tamil
Tagalog
Mandarin


See accuracy by language



High-Accuracy

OCR Engine

Handles Every Format


Multi-language OCR trained specifically on health insurance documents. Accurate on every format type encountered in real claims.



Handwritten
Scanned PDFs
Digital files
Multi-page


Real-Time

Fraud Detection

3 Validation Layers


Detects irregularities during extraction — not after. Protects against prescription fraud, inflated billing, and tampered documents.



Rx-Pharmacy Matching
Invoice Arithmetic
Doc Authenticity


See fraud detection examples







Proven in production

8x faster claim processing.
In production today.


15,000+ claims processed across IPD and OPD document classes in a live TPA deployment. Processing time cut from 40 minutes to 5 minutes per claim.




40 min

Before



5 min

After



15,247+

Claims



View Full Case Study




InterPixels reduced our claim processing time dramatically. What took 40 minutes of manual review now takes 5 minutes. Our adjudicators now focus on exceptions, not paperwork. The API integrated into our existing platform without any disruption to our team’s workflow.



TrueCover India
Production deployment
15,000+ claims processed






Common questions

Frequently asked by TPA decision makers






Claims Intelligence API is a health insurance-specific API that validates claim completeness and extracts structured data using OCR + GenAI. It delivers 8x faster processing without requiring changes to your TPA platform. TPAs consume the API directly within their existing claims systems.





Generic OCR only extracts text. Claims Intelligence validates completeness first, then extracts data with per-field confidence scoring, and includes real-time fraud detection. We are purpose-built for health insurance claims with 40+ document types — trained on actual APAC health insurance documents, not generic document sets.





Production deployments achieved 8x faster processing (40 minutes to 5 minutes per claim) across 15,000+ claims. ROI derives from faster settlement cycles, significantly reduced manual review time, prevention of claim leakage, and the ability to scale volume without adding headcount.





Typical deployment takes 4–6 weeks, not months. Integration is API-first with comprehensive documentation. Most TPAs complete integration from API access to production deployment within that window.







No. InterPixels is API-first and plugs directly into your existing TPA system. No UI changes required. Your claims team continues using their existing interface while InterPixels handles validation and extraction behind the scenes.





Real-time fraud detection includes three layers: prescription-pharmacy cross-validation (matching prescribed drugs against pharmacy dispensing records), invoice arithmetic validation (verifying line-item totals and amounts), and document authenticity analysis (detecting tampering, editing artifacts, and inconsistencies).





We support 6+ languages: Hindi, Bahasa Indonesia, Thai, Tamil, Tagalog, and Mandarin. This includes handwritten prescription support across all languages — critical for APAC health insurance claims processing.





During a demo, we walk through the complete claim processing workflow using sample documents. You will see document validation, real-time extraction with confidence scores, field-level HITL review, fraud detection in action, and the structured JSON output delivered to a TPA platform.







Ready to process claims 8x faster?


See InterPixels in action with your own claim documents. No commitment required.



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