How it works
We turn your own underwriting guidelines and claims decision trees into running workflows — with a licensed human at every decision and a write-once record behind every run.
The model
The model, in plain English
Your guidelines and decision trees already encode how your firm makes decisions. We turn them into running workflows (built in n8n) across the work your team repeats every day — and where those SOPs live only in a few veterans' heads, we do the excavation and documentation for you.
The human gate
AI drafts and scores. A licensed human decides. For anything that must be exact — filed-rate logic, authority thresholds — deterministic code runs the check, not the model, at 0% interpretation error.
- AI drafts summaries, extractions, and recommendations; it never makes the call.
- The human of record approves every coverage, denial, payment, and material-record action.
- Filed-rate and authority-threshold logic runs as deterministic code — 0% interpretation error.
The audit trail
Every run is logged write-once with raw-payload provenance — the documentation a market-conduct exam asks for.
- Write-once logging with raw-payload provenance on every run.
- Deadline and SLA tracking so nothing quietly slips.
- Denial-rationale checks against the quoted policy language.
Data sovereignty
- Everything runs in your approved environment.
- Minimum-identifier prompting; mask sensitive details before anything reaches an assistant.
- No-training data handling — your data is never used to train a model.
- Your guidelines stay your IP.
You own it
- Built on your infrastructure.
- Full source handed over, with runbooks.
- Clear exit terms — you keep every workflow if we ever part.
Integration with the system you already run
An any-system / no-API bridge via HTTP Request connects to legacy and modern platforms alike — with read-safe access and gated writes that protect your system of record.
- Applied Vision
- Sagitta
- ForeSight
- AS400
- Tropics
- ClaimsPro
- Rating engines
- Carrier portals
Want to see this mapped onto one of your processes?
Book a 15-minute call and we'll walk one workflow end to end — gate, audit trail, and all.