Claim Transformer Cortex™ — OCR + GenAI Extraction Engine


Watch a Real Claim Get

Processed in 5 Seconds


See InterPixels extract, validate, and detect fraud in real-time. No manual sorting, no data entry, no fraud leakage.



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15,000+

Claims Processed



8x

Faster Processing



94%

Auto-Validation



40+

Document Types



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

Manual Claims Processing Creates Operational Bottlenecks


Document complexity, fraud leakage, and rising claim volumes are compressing margins and stretching teams.






Processing Speed


Manual document sorting, data entry, and validation create settlement delays. Industry pilots show 40% processing time reduction with AI automation (Intel Market Research, 2025).





Fraud & Errors


Without real-time validation, prescription mismatches, invoice errors, and duplicate claims slip through. Manual spot-checks miss systematic fraud patterns.





Scaling Challenges


Growing claim volumes require proportional staff increases. Manual processes don't scale efficiently—headcount grows linearly with volume.





Customer Satisfaction


Slow settlement cycles and claim rejections impact policyholder experience. Industry pilots show 25-30% improvement in customer satisfaction with automation (Intel Market Research, 2025).






How it works

Follow a Claim Through InterPixels


From document upload to structured JSON ready for your TPA system — every step automated, every fraud type caught.





Ingest

Document Upload


Claims arrive via multiple channels. Avg. 3–5 seconds per document.



Email, AWS S3, SFTP, REST API

PDF, JPG, PNG, TIFF supported

Multi-page PDFs auto-split

Webhook callbacks for async





Gate 1 · Sentinel

Completeness Validation


Validates required documents are present. Blocks incomplete submissions before extraction begins.



Auto-rotate, dewarp, crop

Missing document detection

Pass / block per claim type

40+ doc class coverage





Gate 2 · Parser

Extraction & Fraud Detection


OCR + GenAI extracts all fields with per-field confidence scoring. 94% auto-validated.



99.1% classification accuracy

89–98% OCR (6+ languages)

Only 6% of claims to HITL

Fraud detection at extraction





Output

TPA System


Structured JSON delivered to your TPA platform via REST API in seconds.



Field-level data + confidence

Fraud alerts embedded

Webhook delivery

Zero reformatting required






Book a live walkthrough






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.






Fraud intelligence

Real Fraud Detection Examples


InterPixels detects fraud patterns in real-time—before claims are paid. See how different fraud types are caught automatically.





Rx Mismatch

Scenario 1

Prescription–Pharmacy Mismatch


Ahmad bin Abdullah. Prescription: Paracetamol 10 tablets. Pharmacy bill: Paracetamol 30 tablets. Quantity mismatch detected: Prescribed 10, billed 30.



Fraud Alert
Claim Flagged for Review



Arithmetic

Scenario 2

Invoice Arithmetic Error


Line items: Medicine SG$45 + Consultation SG$60 + Lab SG$80 = Subtotal SG$185.00. Stated total: SG$215.00. Arithmetic mismatch: line items sum to SG$185, total claims SG$215.



Fraud Alert
Claim Blocked for Verification



KYC Tamper

Scenario 3

KYC Document Tampering


Passport: MRZ valid, photo normal ✓. Font consistency: failed ✗. Editing artifacts: detected ✗. Date of birth modified after issuance. KYC document tampering detected in DOB field.



Fraud Alert
Identity Verification Required



Duplicate

Scenario 4

Duplicate Claim Detection


Patient: Wong Li Ming. Date: Feb 15, 2025. Hospital: Mount Elizabeth. Amount: SG$450. Identical claim submitted a second time. Duplicate claim: same patient, date, hospital, amount.



Fraud Alert
Second Claim Blocked Automatically





Multi-language OCR

Same Prescription, 6 Languages


Process handwritten prescriptions across Asia-Pacific markets with the same accuracy.





96%

Confidence

Hindi


पेरासिटामोल 500mg



Paracetamol 500mg
Handwritten



97%

Confidence

Bahasa Indonesia


Parasetamol 500mg



Paracetamol 500mg
Handwritten



94%

Confidence

Thai


พาราเซตามอล 500mg



Paracetamol 500mg
Handwritten



95%

Confidence

Tamil


பாராசெட்டமால் 500mg



Paracetamol 500mg
Handwritten



98%

Confidence

Tagalog


Paracetamol 500mg



Paracetamol 500mg
Handwritten



93%

Confidence

Mandarin


扮热息痛 500mg



Paracetamol 500mg
Handwritten





Accuracy benchmarks


Handwritten: 89% avg across all languages
Printed: 98%+ across all languages





Document coverage

40+ Document Types, Fully Automated


Click a category to see which documents InterPixels processes. Every document type = zero manual data entry.





15

OPD Document Classes

OPD Claims


Prescriptions, pharmacy bills, lab reports, consultation receipts, query letters, medical certificates, TPA email, insurer mail, clinic payment receipt.



Prescriptions
Pharmacy Bills
Lab Reports
Consultation Receipts
Medical Certificates
Query Letters



25

IPD Document Classes

IPD Claims


All OPD types plus hospital bills, discharge summaries, operation theatre notes, GISPA declaration, room rent breakdown, settlement letters, original death summary.



Discharge Summaries
Hospital Main Bill
Hospital Breakup Bill
OT Notes
GISPA Declaration
Settlement Letters



8

KYC Document Types

KYC Documents


Passports with MRZ validation, government IDs (NRIC, MyKad, Aadhaar), driving licences, address proofs, utility bills, bank statements.



Passports
Government IDs
Driving Licences
Address Proofs



6

Financial Document Types

Financial Docs


Cancelled cheques, payment receipts, tax invoices with GST/VAT documentation, reimbursement forms, transaction confirmations.



Cancelled Cheques
Payment Receipts
Tax Invoices
Reimbursement Forms






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.





API-first integration

Send a document.
Receive structured JSON
in seconds.


No UI changes to your TPA platform required. Simple REST API integration.



REST API — token-based auth, webhook callbacks

SDK support: Python • Node.js • Java • REST

Multi-source ingest: Email, AWS S3, SFTP, API

Formats: PDF, JPG, PNG, TIFF

Integration: 4–6 weeks from API access to production



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api.interpixels.ai / v1

response 3.2 seconds


// ── REQUEST ────────────────────
POST https://api.interpixels.ai/v1/process
"document": "base64_encoded_claim_document"
"claim_type": "OPD"
"fraud_detection": true
"confidence_threshold": 0.90

// ── RESPONSE (3.2 seconds) ────────
status: "completed"
classification: "pharmacy_bill"
confidence: 0.96
patient_name: "Chen Wei"
medicine: "Paracetamol 500mg"
pharmacy: "Guardian Pharmacy"
fraud_alerts: []
hitl_required: false





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








Claim Transformer Cortex is the OCR + GenAI extraction engine inside InterPixels. It powers two-gate validation for health insurance TPAs: Gate 1 (Sentinel) validates document completeness, Gate 2 (Parser) extracts structured data with per-field confidence scoring and real-time fraud detection. TPAs consume it entirely via REST API — no platform changes required.






Generic OCR only extracts text. Claim Transformer Cortex validates completeness first, then extracts with per-field confidence scoring, and includes real-time fraud detection across 4 fraud types. Purpose-built for health insurance with 40+ document types — trained on actual APAC health insurance documents at 99.1% classification accuracy.






Production deployments achieved 8x faster processing (40 minutes to 5 minutes per claim) across 15,000+ claims. Industry pilots report 40% processing time reduction and 25–30% improvement in customer satisfaction. ROI comes from faster settlement cycles, reduced manual review, prevention of claim leakage, and scaling without headcount.






4–6 weeks from API access to production. Integration is API-first with comprehensive documentation and SDK support for Python, Node.js, and Java. Most TPAs complete integration within that window with dedicated support from our implementation team.








No. Claim Transformer Cortex plugs directly into your existing TPA system via REST API. No UI changes required. Your claims team continues using their existing interface while the engine handles all validation and extraction behind the scenes.






Four layers run at extraction time: prescription-pharmacy quantity cross-validation, invoice arithmetic validation (line items vs stated total), KYC document authenticity analysis (tampering, editing artifacts, font inconsistency), and duplicate claim detection (same patient, date, hospital, amount). All run before settlement — not after.






6+ languages: Hindi (96%), Bahasa Indonesia (97%), Thai (94%), Tamil (95%), Tagalog (98%), Mandarin (93%). Handwritten prescription support across all — 89% average accuracy for handwritten, 98%+ for printed. Critical for APAC health insurance claims processing.






We walk through the complete claim processing workflow using sample documents from your market. You will see document validation, real-time extraction with confidence scores, field-level HITL review, all four fraud detection layers in action, and structured JSON output delivered to a TPA platform in under 5 seconds per claim.








Ready to process claims 8x faster?


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



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Talk to Sales