Claimsadjudication, explained

Claims processing

Every claim, adjudicated line by line — and the why behind every number.

Submit a claim with line items; each line runs through coverage rules, the deductible, cost-share, and annual limits. The result is a per-line explanation you can read — not just an amount. Open a claim to see the money flow, the decision trace, and the full lifecycle.

Claims

1 total
ClaimMemberSubmittedStatusInsurer pays
CLM-500
5 line items
Priya SharmaJune 8, 2026Under reviewAwaiting a manual decision before payment.$400.00