PROCESS
HEALTHCARE
CLAIMS
WITHOUT
LOSS

A healthcare claims infrastructure that tracks every service, validates medical relevance, and gives you complete visibility and control over claims — from submission to settlement.

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HOW IT WORKS

We empower providers, TPAs, and HMOs through intelligent claims vetting — ensuring faster settlements, transparent payments, and renewed confidence from patients and enrollees.

1 WhatsApp 2 Mail 3 Call/Voice 4 API Claim Processing Extract & Validate Prepare for Vetting Eligibility Check • Enrollee active? • Service in plan? • Utilization limit? ✓ Pass / ✗ Fail Fraud Detection • AI/Rules vetting • Duplicate check • Anomaly detect ✓ Pass / ✗ Flag Medical Necessity • Clinical valid? • Guidelines OK? • Doc review ✓ Pass / ✗ Reject Decision Node All checks passed? Route to outcome ✓ Approved ⧗ Pending Review ✗ Rejected
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Frequently asked
questions

"Powder helped us clear long-standing claims backlogs and bring structure and visibility to our claims process."

Claims & Operations, Trust Charitos Hospital