Real-time visualization of claim processing workflow • Built with FastAPI + Next.js
Read-only .NET interface displaying unstructured claim notes
Extracts data, masks PII, structures with Pydantic
LLM analyzes claims with structured outputs
Displays results for human verification
Emergency services are covered under Section 4.2 of the policy. Claim meets all criteria for approval.
Section 4.2: Emergency Medical Services - Coverage for all medically necessary emergency room visits including diagnostic tests and procedures.
Approve claim for full amount ($12,450). Send approval notification to member and provider within 24 hours.
0.94 - High confidence based on clear policy match and complete documentation.