Insurance claims workflows

How do insurers verify claim statements against policy documents?

Agents POST claim statements to claim-check mode with the policy PDF or URL. DocImprint returns supported, contradicted, or not_found per statement with quoted evidence and chunk_id citations verifiable via Merkle proof.

Can adjusters audit evidence months after capture?

Yes. Evidence bundles include manifest SHA-256, EIP-191 signature, and artifact hashes. Adjusters download the ZIP and verify offline without trusting DocImprint at review time.

How do teams detect when a carrier updates a policy online?

URL monitor schedules periodic checks against policy pages. When content changes, DocImprint creates a new bundle and sends a webhook with a signed diff highlighting changed sections.

Typical claims agent workflow

Capture policy and medical records as evidence bundles
Run claim-check on adjuster statements against captured sources
Index bundles into a matter collection for cross-document Q&A
Apply legal hold during litigation; release when cleared
Export bundle ZIP with chain-of-custody logs for external audit

Evaluation metrics (labeled examples)

Example scenario: An adjuster runs claim-check on 12 policy statements against a 45-page policy PDF. Each statement returns supported/contradicted/not_found with quoted evidence in ~2s. URL monitor detects policy page changes within 24h webhook delivery.

Illustrative workflow metrics — not customer testimonials.

Claim-check mode

Verify policy statements

Evidence bundles

Audit trail

Legal workflows

Chain of custody

URL monitor

Policy change detection