The Intelligence Layer for Health Claims.

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

interpixels data extraction api tpa

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.

BUSINESS IMPACT

Measurable results from day one

Quantifiable improvements across speed, cost, accuracy, and scale.

Faster Settlement

8x

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

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.

Scale Without Hiring

∞

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

WHY TPA’s 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.

OPD & IPD Coverage

40+

Document Types

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

Asia-Pacific OCR

70+

Languages Supported

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

Handles Every Format

Accuracy

OCR Engine

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

3 Validation Layers

Real-Time

Fraud Detection

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

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 to 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.