01 — End-to-End Coverage
Built for every stage of your claims journey

Whether you're looking to speed up pre-authorisation, reduce fraud, or gain strategic visibility — Acclaim is designed to deliver value across your entire operation.

Stage 01
Pre-Authorization
In-warding / Claims Teams
Faster registration and pre-auth approval
Stage 02
Claims Processing
Claims Ops Teams
Efficient and faster claim processing
Stage 03
Fraud Detection
Investigation & LC Teams
Identify fraud, waste and abuse early
Stage 04
Post-Claims Analysis
Ops Leadership
Monitor performance and operations
Stage 05
Portfolio Analysis
CXO / Risk / Network Teams
Strategic insights for leadership
02 — Choose Your Starting Point
Start simple. Scale as you grow.
See real-world use cases by tier
Tier 1 · Entry Level
Document Intelligence APIs
API-first document processing
Plug AI-powered document processing into your existing systems with minimal integration effort. Ideal if you want to start automating quickly without overhauling your current workflow.
What's Included
  • Document Classification
  • Digitisation
  • Classification & Categorisation
Best Suited For
Tech-forward insurersTPAsDigital health platforms
⚡
Go live in weeks, not months
🔗
Works with your existing systems
📈
Immediate accuracy gains
Tier 2 · Operational
Intelligent Claims Processing
Operational automation layer
Automate end-to-end claims processing with built-in fraud detection and a human-in-the-loop safety net. Reduce your team's manual workload while improving accuracy and turnaround time.
What's Included
  • Digitisation
  • Categorisation & Encoding
  • Human-in-the-loop Validation
  • Fraud, Waste & Abuse Detection
  • + Tariff Configuration (add-on)
  • + Policy Configuration (add-on)
Best Suited For
Large insurersTPAsRegional operators
⏱
Significantly faster claim settlement
↑
Higher straight-through processing
🛡
Proactive fraud containment
Tier 3 · Enterprise
Unified Claims Intelligence
Full AI-powered platform
Your entire claims operation, unified under one intelligent platform. AI-assisted adjudication, real-time fraud scoring, and portfolio-level insights give leadership the visibility to act decisively.
What's Included
  • Digitisation + Categorisation
  • Fraud, Waste & Abuse Detection
  • Advanced Analytics
  • AI Co-Pilot for Adjudication
  • Portfolio Analytics
  • + Tariff & Policy Configuration (add-ons)
Best Suited For
Large insurersMulti-country operatorsDigital-first platforms
🧠
AI-powered claims decisions
🛡
Real-time fraud prevention
📊
Strategic portfolio visibility
Tier 1

Document Intelligence — What you can do with it

Stage Use Case Value Delivered
Pre-auth Extract claim form, identify missing documents First time right submission & faster pre-auth
Pre-auth Submission Classify claim documents automatically Reduced query rate
Claims Processing Extract structured data at discharge Reduce manual entry, faster TAT, higher accuracy
Tier 2

Intelligent Claims Processing — What you can do with it

Stage Use Case Value Delivered
Pre-auth Automated claim document review Faster approvals
Claims Intake Automate claim registration Reduced processing effort
Claims Processing Structured digital data pipeline Improved accuracy
Fraud Detection Fraud trigger detection Prevent leakage
Claims Validation Exception-based review workflow Reduce HiTL overhead
Tier 3

Unified Claims Intelligence — What you can do with it

Stage Use Case Value Delivered
Pre-auth AI-assisted claim document interpretation Faster pre-auth decisions
Claims Processing Co-Pilot assisted claim adjudication Improved productivity
Fraud Detection Real-time fraud risk scoring Early fraud detection
Claims Operations Operational dashboards Performance monitoring
Network Mgmt Provider analytics Identify anomalies
Portfolio Insights Claims trend analysis Strategic planning
03 — Feature Comparison
Everything you need,
at every tier
What's included Tier 1 Tier 2 Tier 3
Document digitisation & OCR ✓ ✓ ✓
Automatic document classification ✓ ✓ ✓
Structured data extraction ✓ ✓ ✓
Clinical coding & categorisation — ✓ ✓
Human review for exception cases — ✓ ✓
Fraud, waste & abuse detection — ✓ ✓
Operational dashboards & reporting — — ✓
AI Co-Pilot for claim adjudication — — ✓
Portfolio & provider analytics — — ✓
04 — Your Journey With Acclaim
Start fast. Grow at
your own pace.

Acclaim is designed to deliver value from day one — and expand as your needs evolve. There's no big-bang implementation. You choose where to start and when to scale.

→
01
Start

Get started quickly

Connect Acclaim's document intelligence APIs to your existing systems. Most customers go live within weeks — no workflow overhaul required.

  • Minimal IT effort
  • Developer-friendly APIs
  • Immediate accuracy improvement
→
02
Scale

Automate your operations

Expand into full claims processing automation. Reduce manual effort, cut turnaround times, and add a layer of fraud protection — all without additional headcount.

  • End-to-end processing automation
  • Built-in fraud & waste detection
  • Human oversight where it matters
03
Transform

Make smarter decisions

Unlock AI-assisted adjudication, real-time fraud scoring, and strategic analytics that give your leadership team the intelligence to drive better outcomes across your entire portfolio.

  • AI Co-Pilot for adjudicators
  • Portfolio-level trend insights
  • Enterprise-wide performance visibility
Tier 1 — Value Delivered
Faster document processing with less manual effort from day one
Tier 2 — Value Delivered
Lower operating costs, higher throughput, and reduced fraud leakage
Tier 3 — Value Delivered
Enterprise intelligence that turns claims data into competitive advantage