ClaimAudit
Bhupendra KumarAgentic AI based application using langgraph and fastapi , and reactJS ui as follows- -> dashboard homepage , have upload excel file button , on uploading that ill will save all rows in a table of sqlite db [AppData.db] to table allAuditClaims, [each row have claimID, rxClaimNumber, and questions] -> we can have more than 1 batch of claims in form of excel , so i also have a table claimsBatch , for each excelsheet at one row in claimsBatch table, -> already had a table rule , with some sot of rules with some category, -> have one claims tabel with all claims details ,(have rxclaimnumber also) display data their
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Intelligent Claim Auditing at Scale
Automate the application of auditing rules to insurance claims using multi-agent AI. Process thousands of claims in minutes with human-readable explanations and full compliance tracking.
Navigate the Claim Galaxy
Every claim batch becomes a star cluster in your auditing universe. Hover over each step to see the galaxy respond in real time.
Upload Claims
Import Excel files containing claim details, questions, and batch metadata directly into the system.
AI Processing
Our LLM-powered engine identifies rule categories from claim questions and routes them for analysis.
Rule Application
Predefined auditing rules are automatically applied to each claim based on identified categories.
Review Results
View comprehensive reports with human-readable explanations for every auditing decision on your dashboard.
The Claim Auditing Pipeline
From upload to insight in four streamlined stages. ClaimAudit automates rule application and generates human-readable compliance reports.
Upload Claims
Import Excel files with claim details and audit questions in bulk batches.
AI Processing
LLM agents categorize questions and identify applicable rule sets automatically.
Rule Auditing
Multi-agent system applies predefined rules and evaluates each claim for compliance.
Generate Reports
Human-readable explanations and comprehensive audit results delivered to your dashboard.
Audit Smarter with AI-Powered Intelligence
ClaimAudit automates rule application, generates human-readable explanations, and processes claim batches at scale â so your team can focus on decisions, not data entry.
AI Rule Application
Automatically identify rule categories from claim questions using advanced LLMs, then apply the appropriate auditing rules to each claim with precision.
Natural Language Explanations
Generate clear, human-readable explanations for every auditing decision. Reviewers understand exactly why each claim passed or was flagged.
Batch Processing
Upload Excel files containing hundreds of claims and questions. ClaimAudit ingests, categorizes, and processes entire batches concurrently.
Real-time Monitoring
Track processing status live on the dashboard. View comprehensive reports of auditing results as each claim moves through the evaluation pipeline.
Built for Every Auditing Role
Whether you're reviewing claims internally, partnering as an external auditor, or managing the platform, ClaimAudit adapts to your workflow.
Trusted by Audit Professionals
See how internal auditors and insurance teams use ClaimAudit to streamline compliance and cut review time by up to 90%.
Choose Your Audit Plan
Scale your insurance claim auditing with AI-powered automation. Every plan includes core LLM-driven rule evaluation and human-readable explanations.
- Up to 500 claims/month
- Basic rule engine (10 rules)
- Excel file upload & parsing
- Standard audit reports
- Email support
- Multi-agent LLM processing
- Custom rule builder
- API access & webhooks
- Dedicated account manager
- Up to 5,000 claims/month
- Advanced rule engine (unlimited)
- Excel file upload & parsing
- Comprehensive audit reports
- Priority email & chat support
- Multi-agent LLM processing
- Custom rule builder
- API access & webhooks
- Dedicated account manager
- Unlimited claims
- Advanced rule engine (unlimited)
- Bulk Excel & API ingestion
- Custom compliance reports
- 24/7 dedicated support
- Multi-agent LLM processing
- Custom rule builder
- API access & webhooks
- Dedicated account manager
All plans include a 14-day free trial. No credit card required. Compare all features â
Ready to Streamline Claim Auditing?
Join hundreds of insurance teams automating rule application, generating human-readable audit explanations, and cutting review time by up to 80%. Start with ClaimAudit today.
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