Claims Uploading & Validation
Claim submission, AI validation, fraud detection, and funding request process
9 Steps
Production Ready
Journey Steps
Step-by-step breakdown of the claims uploading & validation process
1
Claim Submission Start
Clinic accesses claim upload interface
2
Document Upload
Upload medical reports, invoices, and supporting documents
3
Initial Validation
Basic validation of claim data and documents
4
Insurance Database Check
CCHI/NPHIES
Verify patient eligibility with insurance providers
5
AI Claim Analysis
OpenAI
OpenAI analyzes claim for validity and risk assessment
6
Fraud Detection Screening
Faceki
Faceki system screens for potential fraud indicators
7
Funding Calculation
Calculate funding amount based on analysis results
8
Funding Request Confirmation
Clinic reviews and confirms funding request terms
9
Request Submission
Taqneyat
Final submission with SMS notification to clinic
Step Detail
Selected: Step 1
Claim Submission Start
Clinic accesses claim upload interface
Type:
screen
Journey Statistics
9
Total Steps
4
Integrations
1
Validations
4
Screens