Review claims with the clinical evidence in view.

Identify unsupported charges, coding mismatches and missing documentation before completing your review. DeepMed Claims Validator™ uses Agentic AI to help prepare findings and explanations so reviewers can prioritise follow-up.

Run a Claims Validation Pilot See How It Works
AI
Clinical-to-Billing Matching
Risk
Scoring & Prioritization
HIPAA
Compliant Processing

Bridge the Gap Between Clinical Documentation and Billing

DeepMed Claims Validator™ analyzes medical reports, discharge summaries, and supporting documents - then compares them against submitted invoices and claims to ensure every billed service is clinically justified, properly documented, and accurately coded.

Match billed items, procedures, and claim codes to supporting clinical evidence across multiple documents simultaneously

Flag overbilling, duplicate charges, upcoding, downcoding, unsupported services, and missing medical justification

Generate risk scores, confidence levels, and priority queues so auditors focus on the highest-impact cases first

Produce explainable, audit-ready validation reports with matched vs unmatched items, evidence, and suggested corrections

Run a Claims Validation Pilot →
Claims Validation Dashboard
Appendectomy - CPT 44950 Matched
ICU monitoring - CPT 99291 Flagged
Hypertension - ICD I10 Matched
Wound debridement - CPT 97597 Review
Duplicate lab charge - 85025 Duplicate
Risk Score: 0.78 2 Flags · 1 Review Priority: High

Intelligent Claim Validation

A complete AI-driven pipeline from document upload to audit-ready validation report - in minutes, not days.

Clinical-to-Billing Matching

Automatically match billed items to clinical evidence, verify procedures against documented interventions, and confirm diagnoses supporting each claim.

Code & Invoice Alignment

Validate ICD and procedure codes against clinical documentation, identify mismatches between submitted codes and findings, and suggest corrected or missing codes.

Fraud & Discrepancy Detection

Flag overbilling, duplicate charges, upcoding, services not supported by documentation, and missing or incomplete medical justification automatically.

Multi-Document Understanding

Process medical reports, discharge summaries, lab results, radiology reports, physician notes, and billing invoices together to build unified clinical context before validating.

Risk Scoring & Prioritization

Each claim receives a risk score, confidence level, and priority classification - so auditors focus manual effort on the cases that matter most.

Explainable Validation Reports

Every validation includes matched vs unmatched items, supporting evidence, documentation gaps, suggested corrections, and a full audit-ready summary.

How It Works

From document upload to validated claim in five automated steps.

Upload Documents

Submit claim forms and supporting clinical documents

AI Extraction

System classifies clinical data from all documents

Evidence Matching

Billed items validated against clinical evidence

Flag & Score

Discrepancies flagged with risk scores and priorities

Validation Report

Audit-ready report with evidence and corrections

Built for Health Insurance & Payers

DeepMed Claims Validator™ is designed for the teams that manage claim review, audit, and revenue integrity.

Insurance Companies

Automate pre-payment claim review and post-payment audit - reducing manual workload while improving detection rates.

Third-Party Administrators

Scale claim validation across high volumes with AI-driven risk prioritization that routes complex cases to expert reviewers.

Claims Auditors

Replace manual document comparison with AI-generated validation evidence - structured, explainable, and citation-ready.

Revenue Integrity Teams

Identify undercoding and overcoding patterns across providers, reduce leakage, and improve reimbursement accuracy at scale.

Integrate with Your Claims System →

Enterprise Security & Compliance

Every claim and document is processed within a HIPAA-compliant, fully auditable environment.

HIPAA / PHIPA Compliant secure data processing
Full Audit Trail Every validation step logged
Role-Based Access Granular permission controls
Real-Time & Batch Supports high-volume workflows

Clinical documentation, from the first word to the final DRG

Six steps from the doctor's words to a coded, audited and grouped chart, with people reviewing the results along the way.

  1. DeepMed Dictate

    Dictate and approve 

    Dictate or record the consultation with consent; the doctor approves the draft.

    Exports PDF, JSON or FHIR R4
  2. DeepMed Platform

    Read and protect 

    Scans become text, and identifiers are masked before any AI sees them.

  3. DeepMed Platform AI-Assisted Coding

    Code 

    Suggested codes arrive with the passage behind them, for the coder to accept.

  4. DeepMed Platform Coding Audit

    Audit 

    A second AI pass scores the coding and proposes changes for the auditor.

  5. DeepMed Platform CDI

    Clarify 

    Documentation gaps become neutral, non-leading physician queries.

  6. DeepMed Platform DRG Grouping

    Group 

    A rules-based grouper assigns the DRG, final when the chart is locked.

Use one step or all of them. An approved Dictate document exports as PDF, JSON or FHIR R4, and the platform reads PDFs, scans, Word files and text.

Connect it to your systems

Transform Claims Validation with AI-Driven Clinical Intelligence

Automated validation. AI insights. Faster, more accurate decisions. Reduce fraud, minimize revenue leakage, and improve audit efficiency.

Request a Demo Integrate via API
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