# Insurance & Claims Software

> Insurance and claims software for adjudication support: claims triage, billing verification, fraud signals, relatedness tagging — every flag cited.

Canonical page: https://medrecords.ai/product/insurance-claims/

---
NewWe now read the actual MRI and CT imaging — not just the radiologist's 1-page report. [See how →](https://medrecords.ai/product/imaging/)
[Home](https://medrecords.ai/) ›[Product](https://medrecords.ai/product/) › — Insurance & Claims
INSURANCE & CLAIMS

## Claims adjudication support, cited line by line.

Insurance claims software for cited adjudication support: triage, billing verification, fraud signals, and relatedness tagging — 21 claims-side capabilities that document everything and decide nothing. The adjudicator always signs off on the decision, and all 21 capabilities are included in every subscription, at one flat rate.

[Test a file ](https://medrecords.ai/test-a-file/?src=product-insurance-claims)
 [Book a demo](https://medrecords.ai/demo/)
THE CAPABILITIES
 21 IN THIS GROUP

### Claims decisions stay human. The evidence work doesn't.

Claims-side adjudication support — triage, billing verification, fraud signals, relatedness tagging — the adjudicator always signs off.

[
Automated Claims Triage
Bulk-processes claim portfolios against your criteria; only claims needing human judgment reach a human.

Explore
 ](https://medrecords.ai/product/automated-claims-triage/)
 [
Claims Billing Ledger
Every billed amount traces to a source page — click any dollar figure, land on the document that justifies or contradicts it.

Explore
 ](https://medrecords.ai/product/claims-billing-ledger/)
 [
Cost & Care Tables
Billing roll-ups and future-care cost tables, ready for life-care plans and specials.

Explore
 ](https://medrecords.ai/product/cost-and-care-tables/)
 [
Evidence Request Automation
Tracks outstanding record requests with tiered follow-up escalation and a full audit trail.

Explore
 ](https://medrecords.ai/product/evidence-request-automation/)
 [
Demand Package Audit
Checks every diagnosis, treatment claim, and billed figure in an incoming demand against the record behind it.

Explore
 ](https://medrecords.ai/product/demand-package-audit/)
 [
Medical Billing Summary
1-page rolled-up billing summary, grouped by provider/date/category, from the ledger's source-verified data.

Explore
 ](https://medrecords.ai/product/medical-billing-summary/)
 [
Fraud & Inconsistency Signal Detection
Flags intra-record contradictions and cross-claim provider patterns (cloned notes, upcoding signals) — cited signals for SIU review, not accusations.

Explore
 ](https://medrecords.ai/product/claims-fraud-signal-detection/)
 [
Billed-Charge Reasonableness Benchmarking
Compares every billed amount to UCR/geographic benchmarks and flags outliers with percentile context.

Explore
 ](https://medrecords.ai/product/medical-bill-review/)
 [
Treatment Relatedness & Compensability Signals
Tags each visit and charge as related/unrelated/disputed to the covered incident, cited — adjudicator signs off.

Explore
 ](https://medrecords.ai/product/treatment-relatedness-compensability/)
 [
AI-Assisted Medicare Set-Aside Drafting
Drafts the WCMSA allocation from the record at Medicare fee-schedule rates — ready for a certified MSA specialist's sign-off.

Explore
 ](https://medrecords.ai/product/medicare-set-aside-drafting/)


 [
Incoming Demand Letter Intelligence & Structuring BETA
Parses demanded actions, deadlines, policy requests, allegations, injuries, treatments, and billing assertions into cited fields ready for verification.

Explore
 ](https://medrecords.ai/product/incoming-demand-letter-intelligence/)







 [
Subrogation & Recovery Finder BETA
Scans the record for signals of third-party liability, duplicate coverage, and Medicare, Medicaid, or ERISA recovery opportunities, flagged for your recovery team.

Explore
 ](https://medrecords.ai/product/subrogation-recovery-finder/)
WORKS WITH

### One platform underneath.

Claims work starts with a clean file and cited answers. These groups sit underneath every flag.

[
Intake & Reading
Deduplication, co-mingled-record quarantine, and table extraction at intake.

Explore
 ](https://medrecords.ai/product/intake-reading/)
 [
Analysis & Answers
Condition trends, work limitations, and cited answers behind every tag.

Explore
 ](https://medrecords.ai/product/analysis-answers/)
 [
All capabilities
The full platform, every capability, one flat rate.

Explore
 ](https://medrecords.ai/product/)

### Run one claim file through it today.

Upload a single claim file and see triage, billing verification, and relatedness tagging work it — every flag cited. Handled under our BAA; never used to train a model.

[Test a file ](https://medrecords.ai/test-a-file/?src=product-insurance-claims)
 [Book a demo](https://medrecords.ai/demo/)