The Engine of
Assurance.
Stop the administrative bleed. Real-time claim validation, fraud detection via AI, and instant payout triggers. Reduce overhead by 40%.
0.4s
Processing Time
94%
Auto-Approval
Fraud
Guard
Guard
Adjudication Engine.
Live claims processing with AI-driven risk analysis.
ENGINE STATUS
Processing (1,240 tps)
MedShield
Administrator
Overview
Claims Feed
Fraud Alerts
Members
Providers
Risk Alert
Unusual volume detected: Dr. N. Patel (Cardiology)
Live Claims Feed
R 4.2M
Today's Value
92%
Approved
14
Fraud Blocks
0.4s
Avg Time
Claim Volume (24h)
+12% vs avgClaim ID
Provider / Type
Amount
Risk Score
#CLM-8841
Dr. Jenkins
GP Consultation
R 450.00
LOW
#CLM-8842
MediQuick Pharm
Chronic Meds
R 1,200.00
LOW
#CLM-8843
City General
Emergency Room
R 3,500.00
HIGH
CapabilitiesRisk managed.
Risk managed.
Costs controlled.
Fraud AI
Algorithms detect pattern anomalies, duplicate billing, and phantom providers instantly.
Real-Time Auth
Pre-authorization happens in milliseconds during the patient consultation.
Member 360
A unified view of member history across all providers in the network.
Population Health
Aggregate data to identify disease outbreaks and cost drivers in real-time.
Direct Payment
Automated fund release to providers upon validated service delivery.
Audit Trail
Immutable logs of every interaction for perfect regulatory compliance.
The Future of Insurance.
We are integrating with forward-thinking medical aids and hospital groups. Streamline your adjudication today.