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Claims, withoutthe complexity.

Understand documents, check eligibility and surface denial risk. Give your claims team the clarity to move forward.

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  1. 01 · Claim evidenceEvidence
  2. 02 · Eligibility checksCheck
  3. 03 · Gap identificationGaps
  4. 04 · Assembled packetPacket

01The 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.

01Eligibility / 01

Eligibility check, before submission

Policy retrieval and document understanding flag missing artefacts and ineligible claims at intake, before they enter the queue.

Sub-limit awarenessDocument completenessPre-auth guidance
02Filing / 02

Automated claim filing

Forms, supporting documents and metadata assembled into TPA-ready packets in under 90 seconds.

TPA-ready packetsAuto-attached evidenceStatus tracking
03Risk / 03

Denial risk & remediation

Predicts likely denial reasons against historical adjudication data and suggests remediation pre-emptively.

Denial-reason modelPre-emptive fixesSLA forecasting

02Impact

Fewer denials, faster settlements.

90s

Avg time to file

4.2d

Observed TPA settlement SLA

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.

03Lines & documents

Built for messy, real-world claims.

Newron reads discharge summaries, prescriptions, invoices, FIRs and policy schedules, printed or handwritten.

  1. 01

    Document understanding

    Intake

    Discharge summaries, bills, prescriptions and policy schedules parsed and cross-checked.

  2. 02

    Policy reasoning

    Eligibility

    Sub-limits, waiting periods and exclusions evaluated against the specific policy schedule.

  3. 03

    Packet assembly

    Filing

    A complete, TPA-ready packet with every required artefact attached and indexed.

  4. 04

    Denial prediction

    Adjudicate

    Likely denial reasons surfaced with the historical evidence behind them.

  5. 05

    Remediation loop

    Settle

    Gaps closed before submission, shortening the back-and-forth with the TPA.

04Questions

Common questions.

  • 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.

  • Yes. Newron produces TPA-ready packets and exposes REST + webhook APIs, so it slots into your existing claims platform and TPA handoffs.

  • 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.

  • All processing runs inside your environment (VPC, on-prem or air-gapped) with full audit logging and data-residency commitments.

Let’s build what’s next

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.

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