Example flow
Two illustrative scenes, what the AI would receive, what it would do next. Not pulled from live data.
Illustrative
Example flow
Input
Patient encounter · physiotherapy · Bupa member · 6 visits
Action taken
Input
AXA remittance response · claim rejected · code MISSING_DOC
Action taken
How it works
EMIS, SystmOne, Cliniko, Dentally, or your sector PMS plus your billing/claims system. Read patient encounter + diagnosis data.
NHS, private insurer panels, self-pay tariffs. Coding rules, prior-auth requirements, documentation expectations loaded once.
Per encounter, the AI extracts procedures, applies the right codes (SNOMED, OPCS, ICD-10, CPT where relevant), validates against payer rules, and drafts the claim.
Clean claims submitted electronically. Rejections categorised (eligibility, coding, documentation) and routed for fix-and-resubmit.
Where it shows up
Four real scenarios drawn from how clients use ClaimsProcessor day to day, plus the full list of what's in the box to make them work.
AXA, Bupa, Vitality, Aviva, WPA, Cigna. Per-payer rules respected; clean-claim rate up significantly.
NHS + private mix. UDA tracking, FP17 submission, private patient billing on the same workflow.
Physiotherapy, chiropractic, osteopathy, podiatry. Insurer panels managed.
Practices submitting to NHS payment systems with documentation-heavy reconciliation cycles.
What's in the box
Plugs into
Pricing
/month
Indicative pricing, your actual quote depends on volume, integrations, and business size. Book a call and we'll put together the right package for you. No multi-year lock-in. Cancel any time.
FAQ
Yes, NHS DST-aligned, ISO 27001 controls, UK-resident data, optional on-premise deployment for the most sensitive workloads.
No, it surfaces draft codes with confidence scores. A trained coder reviews and approves before submission. Removes the typing, keeps the judgement.
Prior-auth requirements flagged in the draft. We can also automate the prior-auth submission itself on Bespoke Build.
Per-payer rule sets. NHS submissions follow FP17 / GP IT futures requirements; private follow each insurer's portal rules.
We benchmark against your existing accuracy on parallel running. Most clients see clean-claim rate jump 10–15 points within the first month.
Most clients are live within seven working days. Parallel-running cycle for two weeks before going live, included.
Run the free analyser first, five minutes, no signup. Or jump straight to a strategy call if you already know what you need.
Your experience helps other businesses make the right decision.
Leave a Review on Trustpilot