Sherlock Suite
AI-powered medical claims automation and fraud prevention platform
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Overview
The Sherlock Suite solves critical inefficiencies in insurance claims processing by automating document digitization, coding, adjudication, and fraud detection for payers. Its modular components — such as intelligent OCR (Sherlock.IPA), ICD-10 coding, and advanced AI adjudication — work together to reduce manual effort and leakage. With real-time analytics and provider network management, it enhances decision accuracy and operational insights. The platform integrates via APIs for rapid deployment and supports deep claim analytics and reporting.
Who It's For
Health insurance payers, Claims operations teams, Fraud investigation units, Insurance technology leaders, Enterprise insurers
Key Strengths
AI-driven automationHigh accuracy and fraud detectionScalable SaaS integrationDeep claims analytics
Primary Use Cases
AI-automated claims digitization and processing
Fraud, waste & abuse detection
Automatic ICD coding and adjudication
Provider network management and insights
Claim analytics and reporting
Technical Specifications
Supported AI Models
Proprietary AI/ML
Deployment Methods
Cloud
Supported Languages
English
Company Information
Location
India, UAE
Company Size
11-50 employees