Datrics

Founded by Anton Vaisburd in 2020

Automate claim adjudication, medical coding, and compliance checks across healthcare and insurance workflows

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You can use Datrics to automate claim adjudication, review medical coding, and verify compliance across regulated operations. It extracts data from medical records, damage reports, and invoices through APIs, then applies business rules and machine learning models to score and validate claims. Every decision comes with an explainable audit trail so your team can verify why an assessment was made. You can route uncertain cases to human reviewers and connect the decision engine directly into your existing claims systems, ERPs, and cloud infrastructure.

What Datrics does

Ingest claim records via REST API endpointsExtract structured fields from medical paperworkScore insurance claims against policy rulesReview audit trails for automated claim approvalsSend flagged claims to manual review queuesExport adjudicated claim results to enterprise ERPsMonitor real-time claim validation accuracy metricsExtracts structured data from medical records and claim formsCombines deterministic logic with machine learning models for scoringGenerates human-readable explanations and audit logs for every decisionIncludes human review queues for uncertain or high-risk claimsRecords an immutable audit ledger of all document evaluationsConnects via REST APIs to existing claims and ERP systemsDeploys across public clouds or sovereign private clouds

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Microsoft Azure

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