ARIS: The Health Claims Adjudicator
Your AI Virtual Employee for Health Claims Adjudication. ARIS delivers fully compliant, audit-ready claim decisions in real-time with zero-touch processing.
What ARIS Can Do for You
1
Automated
Adjudication
- Automated Adjudication
- Claim Admissibility
- Medical Investigation Analysis
- Medical Adjudication
- Tariff Validation
- Financial Adjudication
- Pending Requirement Management
2
Document & Quality Assessment
- Data Extraction
- Document Classification
- Document Tagging
- Corrections
- Data Validation & Verification
- Cross validation across documents
- Pending Requirement Management
3
Enrichment, Verification & Validation
- Validation of documents & processes
- Insurance Bureau Integration
- 3rd party sources Integration
- Custom Integrations
What ARIS Can Do for You
Automated
Adjudication
- Automated Adjudication
- Claim Admissibility
- Medical Investigation Analysis
- Medical Adjudication
- Tariff Validation
- Financial Adjudication
- Pending Requirement Management
Document & Quality Assessment
- Data Extraction
- Document Classification
- Document Tagging
- Corrections
- Data Validation & Verification
- Cross validation across documents
- Pending Requirement Management
Enrichment, Verification & Validation
- Validation of documents & processes
- Insurance Bureau Integration
- 3rd party sources Integration
- Custom Integrations
What ARIS Can Do for You
Automated
Adjudication
- Automated Adjudication
- Claim Admissibility
- Medical Investigation Analysis
- Medical Adjudication
- Tariff Validation
- Financial Adjudication
- Pending Requirement Management
Document & Quality Assessment
- Data Extraction
- Document Classification
- Document Tagging
- Corrections
- Data Validation & Verification
- Cross validation across documents
- Pending Requirement Management
Enrichment, Verification & Validation
- Validation of documents & processes
- Insurance Bureau Integration
- 3rd party sources Integration
- Custom Integrations
Discover ARIS’s Feature Suite
Admissibility Checks
- Policy, member and benefits validation
- Underwriting exclusion and waiting period
- Hospital validation (blacklist)
- Document completeness
Medical Adjudication
- Establish reasoning chain (symptom to treatment)
- Leverage discharge summary & medical reports
- Length of stay validation
Financial Adjudication
- Payable amount calculation
- Exclusions & tariff validation
- Deductions & co-payment calculation
- Benefit sub-limit analysis
Ready to Transform Claims Processing?
See how ARIS can eliminate manual work, slash costs, and bring instant scalability to your operations. Get in touch to see it in action.
Powered by LiteCone AI • www.litecone.ai
Why Hire Me?
I am reliable, fast, and scalable, delivering consistent results while enhancing your risk management framework. By automating manual processes, I free up your team to focus on strategic priorities, ensuring faster decisions, reduced costs, and smarter outcomes.
