AI-Driven Claims Infrastructure

Insurance operations scale only when data is structured,
reliable, and intelligent.

IHX enables payers to operate on clean medical data and
AI-supported workflows.

Infrastructure Diagram

Bill Digitization

IHX converts unstructured medical documents into structured, schema-compliant data with high accuracy.

Payer Protection AI

Capabilities include

  • Multi-format ingestion (scanned, handwritten, digital)
  • Specialty-aware classification
  • Standardized schema outputs
  • Tabulation-ready data
  • Structured medical coding support
Outcome

Faster claims processing and improved data consistency.


Acclaim

Fraud, Waste & Abuse Intelligence
Acclaim provides advanced FWA detection across claims portfolios.

Capabilities include

  • Anomaly detection
  • Pattern-based fraud identification
  • Risk scoring
  • Clinical-financial mismatch alerts
  • Cross-case intelligence
  • Escalation triggers
Outcome

Measurable leakage reduction and stronger fraud governance.

Payer Protection AI

IAdore

AI-Assisted Adjudication & Decision Orchestration
IAdore enables structured decision support across adjudication workflows.

Payer Protection AI

Capabilities include

  • Policy digitization
  • Tariff intelligence
  • Rule automation
  • Clinical admissibility checks
  • Guided adjudication workflows
Outcome

Scalable claims operations without proportional workforce expansion.


Proof & Scale

IHX operates at ecosystem scale

IHX operates at ecosystem scale

  • 17,000+ active providers transacting monthly
  • Millions of annual healthcare transactions
  • Significant share of digital cashless claim flows processed via IHX
  • Integrations with insurers, TPAs, public health programs, and HIS platforms
Payer Protection AI
Payer Protection AI

Clientele & Ecosystem

HX collaborates with leading insurers, TPAs, healthcare
networks, and public programs worldwide.

Providers consistently cite

  • Strong payer connectivity
  • Faster coordinatio
  • Rule automation
  • Transparent settlement tracking
  • Structured workflow governance