The Platform

The Platform

ClaimScope

Claim Management Platform

When claims data enters the platform, each claim passes through an extensive data validation process powered by KironClaim engine, producing risk scoring metrics and analytical results for each claim.

KironClaim comprises simple rules like age and gender as well as extensive machine learning algorithms that consider the full treatment histories.

CaseHound

Clear and Efficient FWA Investigation

Once individual claims are validated and sanitized, KironCase sweeps through the entire database looking for behavioural patterns, collusion networks, and inefficiencies such as upcoding. 

The unsupervised graph based sweeps learn and adapt to new relevant patterns, spotting complicated patterns that are not visible to unaided human eye.