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| Claim | Member | Submitted | Status | Insurer pays | |
|---|---|---|---|---|---|
| CLM-500 5 line items | Priya Sharma | June 8, 2026 | Under reviewAwaiting a manual decision before payment. | $400.00 |