Eligibility
01
Eligibility check, before submission
Policy retrieval and document understanding flag missing artefacts and ineligible claims at intake — before they enter the queue.
- Sub-limit awareness
- Document completeness
- Pre-auth guidance
Newron's claims models inspect documents, parse policy language and predict denial risk the moment a claim is initiated — so adjusters spend their time on edge cases, not paperwork.
From first notice of loss to a TPA-ready packet, Newron handles the mechanical work and escalates only what needs a human.
Policy retrieval and document understanding flag missing artefacts and ineligible claims at intake — before they enter the queue.
Forms, supporting documents and metadata assembled into TPA-ready packets in under 90 seconds.
Predicts likely denial reasons against historical adjudication data and suggests remediation pre-emptively.
Measured across health and motor lines at insurers and TPAs running Newron in production.
Newron reads discharge summaries, prescriptions, invoices, FIRs and policy schedules — printed or handwritten.
“The denial-risk model paid for itself in a quarter. We stopped filing claims that were always going to bounce, and our adjusters finally have time for the genuinely hard cases.”
Health and motor are in production today, with the document and policy-reasoning stack generalising to other lines. New document types onboard quickly because the models are pre-trained on Indian claims data.
Yes. Newron produces TPA-ready packets and exposes REST + webhook APIs, so it slots into your existing claims platform and TPA handoffs.
The model is trained on historical adjudication outcomes and explains each prediction with the policy clauses and document evidence behind it — never an unexplained score.
All processing runs inside your environment — VPC, on-prem or air-gapped — with full audit logging and data-residency commitments.
We'll replay a slice of your historical claims through Newron and show you the denial-risk and time-to-file numbers before you commit.