Process Claims in Minutes, Not Days.
Zabrizon's AI claims automation platform handles intake, eligibility, code validation, and adjudication end-to-end — reducing manual touch rates to under 10% and cutting per-claim processing costs by up to 80%.
Why Claims Processing Remains a Cost Centre
Despite billions invested in core admin systems, most payers still route 40–60% of claims through manual review queues.
High Manual Touch Rates
Legacy claims systems flag 40–60% of claims for manual review, creating costly backlogs and inconsistent adjudication outcomes.
Rising Per-Claim Costs
The average manually-processed claim costs $6–12 vs. $0.30–0.80 for fully automated adjudication — a gap that compounds at scale.
Coding Errors & Denials
ICD-10/CPT coding errors and missing modifiers drive denial rates of 5–15%, each requiring expensive rework cycles and provider friction.
Slow Turnaround Impacting Providers
Slow claims turnaround damages provider relationships and creates AR pressure that strains provider networks critical to competitive positioning.
End-to-End Claims Automation Capabilities
From first-touch intake through final payment, Zabrizon automates every step of the claims lifecycle.
Intelligent Claims Intake
AI-powered OCR and NLP extract structured data from paper, EDI, and portal-submitted claims, normalising to a unified claims data model.
Explore solutionReal-Time Eligibility Verification
Sub-second eligibility and benefits checks against plan data, reducing eligibility-related denials by over 90%.
Explore solutionAI Code Validation
NLP models validate ICD-10 and CPT code combinations, identify unbundling, upcoding, and missing modifiers before adjudication.
Explore solutionAuto-Adjudication Engine
Rule-based + ML adjudication engine that handles 90%+ of claims without human intervention, with complete audit trail.
Explore solutionDenial Prevention & Management
Proactive denial prediction flags high-risk claims before submission, and automated denial workflows streamline appeals.
Explore solutionClaims Analytics Dashboard
Real-time claims performance dashboards tracking first-pass rates, denial patterns, processing times, and cost per claim.
Explore solutionClaims Automation Built for Payer Compliance
Full regulatory coverage across federal and state claims processing requirements.
Ready to Automate Your Claims Operations?
Schedule a claims automation workshop and see how quickly Zabrizon can deploy in your payer environment.