Your insurer claims, submitted while you sleep.
Kairos Claims reads each file, applies your rules, submits the claim in the insurer’s portal, records the number and verifies every operation. Anything doubtful is left ready for your team.
Every manual claim is money that arrives late.
every claim, typed into the portal
of accounts a month for each insurer
from typing errors, signatures or duplicates
of collection delay = cash flow trapped
From file to verified claim, on its own.
It connects to your accounts system or insurer monitor and works on the schedule you define: at night, on weekends or continuously.
Everything a good claims analyst would do.
Smart reading
Extracts data from scanned forms, invoices and prescriptions, even with handwriting on the prescription.
Assisted coding
Suggests the ICD-10 diagnosis and its ICD-9 equivalent from the form or prescription.
✍Document control
Detects a missing patient or doctor signature, stamp and ID number, and inconsistent dates.
Duplicate check
Cross-checks invoices and existing claims before submitting.
Robust search
Finds the insured across every combination of policy, certificate and name.
Post-submission check
Re-reads the portal and confirms the claim number of every operation.
Canary and alarms
If the portal changes or something does not add up, it stops before making mistakes.
Automatic schedule
Runs on its own on the programmed schedule, with a one-click start.
Audit and reports
Daily report: submitted, verified, for review and reasons.
Your claims, submitted on their own.
- Every file, read and checked
- Submitted and verified in the portal
- Anything doubtful goes to a person, with the reason noted
Demonstration with fictitious data. See the full demo →
Your claims portfolio, in real time.
Illustrative view with fictitious data.
Manual vs. Kairos Claims
| Manual process | Kairos Claims | |
|---|---|---|
| Time per claim | Minutes | Seconds |
| Hours | Working day | Programmable 24/7 |
| Verification | By sampling | 100% automatic |
| Duplicates | Detected afterwards | Blocked beforehand |
| Traceability | Partial | Every action audited |
| Scaling volume | Hiring | No relevant marginal cost |
Completed a real pilot with a health insurer’s portal. Each new insurer is configured and piloted before going live.
Tested on a real insurer-claims operation.
Kairos Claims submitted claims to an insurer, verified each one and handed the doubtful cases to a person. We publish only verified figures and anonymized cases: the full case, with figures, will come out when the client authorizes it in writing.
How many of your claims come back over a detail?
The five most common reasons a claim is returned, and how to avoid them.
Pay for what gets submitted.
Reference prices in USD. The final proposal is adjusted to volume and the number of insurers.
Starter
implementation (includes pilot) + $250/mo
- 1 insurer
- Up to 1,000 claims/month
- Standard matrix
- Daily report
Pro
Fixed, all included · $450 up to 2,500 claims
- Up to 3 insurers and 750 claims/month
- Custom matrix
- Dashboard + audit
- Kairos Care included
Enterprise
dedicated volume and SLA
- Unlimited insurers
- Integration with your HIS/ERP
- On-premise deployment
- Priority SLA and support