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
Insurance AI90s avg time to file
Settle claims before they're filed.
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.
Claim CLM-88214 · Health · Cashlesspacket ready in 01:24
- Policy schedule
- Pre-authorisation
- Discharge summary
- Final bill
- Investigation reports
Denial risk
Elevated
Request investigation reports before submitting.
01 · The claims pipeline
Three checkpoints, fully automated.
From first notice of loss to a TPA-ready packet, Newron handles the mechanical work and escalates only what needs a human.
Automated claim filing
Forms, supporting documents and metadata assembled into TPA-ready packets in under 90 seconds.
- TPA-ready packets
- Auto-attached evidence
- Status tracking
Denial risk & remediation
Predicts likely denial reasons against historical adjudication data and suggests remediation pre-emptively.
- Denial-reason model
- Pre-emptive fixes
- SLA forecasting
02 · Impact
Fewer denials, faster settlements.
Measured across health and motor lines at insurers and TPAs running Newron in production. The settlement figure is the TPA turnaround we observe, not a Newron commitment.
What claims teams see in production
90s
Avg time to file
4.2d
Observed TPA settlement SLA
03 · Lines & documents
Built for messy, real-world claims.
Newron reads discharge summaries, prescriptions, invoices, FIRs and policy schedules — printed or handwritten.
INTAKE
Document understanding
Discharge summaries, bills, prescriptions and policy schedules parsed and cross-checked.
ELIGIBILITY
Policy reasoning
Sub-limits, waiting periods and exclusions evaluated against the specific policy schedule.
FILING
Packet assembly
A complete, TPA-ready packet with every required artefact attached and indexed.
ADJUDICATION
Denial prediction
Likely denial reasons surfaced with the historical evidence behind them.
SETTLEMENT
Remediation loop
Gaps closed before submission, shortening the back-and-forth with the TPA.
04 · Questions
Common questions.
Which lines of business are supported?
Health and motor are in production today. No other line is validated yet — the document and policy-reasoning stack is line-agnostic in design, so we scope additional lines case by case rather than claiming coverage up front.
Does it integrate with our TPA workflow?
Yes. Newron produces TPA-ready packets and exposes REST + webhook APIs, so it slots into your existing claims platform and TPA handoffs.
How is denial risk calculated?
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.
Is patient data kept private?
All processing runs inside your environment — VPC, on-prem or air-gapped — with full audit logging and data-residency commitments.
Get started
Run a pilot on last quarter's claims.
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.