Control 01
Deadline control
Keep response dates and exact settlement conditions visible while exceptions move through review.
Evidence-linked claims operations
Data to decisions.
Turn incoming demand files into source-linked, reviewer-controlled claim decisions. Compare document versions, verify material facts against their source, control response dates and exact settlement conditions, and preserve every recorded reviewer decision.
For carrier claims teams, examiners, and TPAs handling represented bodily-injury demands.
01 Intake02 Reconcile03 Decide04 Record
Illustrative product view
One file. Recorded changes. Recorded decisions.
A fictional claim demonstrates version comparison, completeness review, source verification, and examiner-controlled action. It prepares internal records only—no live carrier dispatch or claim-system writeback. No customer or claimant data is shown.
Response due12 daysDocument setVersion 3Missing evidence2 itemsSource review8 / 10
What changed · 3 facts affectedSupervisor exception · 1 open
Evidence graphWhat changedDemand conditionsTreatmentEvaluation
Follow-up treatment added in document set v3
The affected treatment fact remains review-required until the examiner confirms the new source page.
Source page · 18One controlled workflow
From incoming document set to documented action
- 01PDF
Version intake
Preserve submitted PDFs, detect duplicates, compare later documents, and capture deadlines and conditions.
- 02
Reconcile the file
Connect facts to evidence, identify what changed, and keep missing or conflicting material visible.
- 03✓✓!
Control the response
Confirm source-read values, assign mandatory conditions, and route operational exceptions.
- 04Approved
Approve the action
Prepare authority and administrative records with human approval and immutable lifecycle events.
Proof without invented promises
Inspect a complete fictional file
The development workspace includes synthetic demand fixtures with police-report, treatment, billing, and exact-settlement-term evidence. Use them to evaluate version-aware intake, field coverage, source navigation, and reviewer controls before discussing a production deployment.
Discuss a fictional product demo- Fictional
- demand fixtures
- 10
- source verification checks
- 1
- versioned review trail
Security and data handling
Deployment controls come before sensitive data.
Pipeline Claims is development-stage software. Do not upload real PHI until authentication, private storage, retention, approved vendors and contracts, monitoring, incident procedures, and organizational approval are configured for the deployment.
Tenant and role boundaries
Claims APIs enforce organization membership and permission checks for review, billing, analytics, exports, and lifecycle actions.
Source integrity
Private source documents are bound to claims with SHA-256 fingerprints; reattached evidence must match the stored source.
Retention and audit controls
Case retention, legal hold, reviewer changes, and workflow events are designed to remain durable and organization scoped.
ClaimSafe model boundary
Internal, authenticated provider-bound text is deidentified locally into request-scoped tokens. NER must load before every provider call, and only the local restoration map is AES-256-GCM encrypted; providers do not receive the map or key. PDFs use bounded local text extraction and OCR, while raw PDFs and page images are blocked from provider egress. Unreadable or low-confidence pages fail closed, and visual-only evidence remains human-review-only. The public ChatGPT file tool is disabled because ChatGPT would receive an original first; production private ChatGPT claim tools remain disabled pending opaque capability handles. PHI-enabled production also requires verified database TLS, approved encrypted storage and temporary volumes, provider contracts, access controls, monitoring, incident procedures, and organizational approval. No SOC 2 certification, HIPAA compliance, or production fitness is claimed; no BAA coverage or zero-retention claim is made by the software itself.
NAIC AI governance packet
A procurement-ready vendor packet maps model inventory, human oversight, validation and drift monitoring, change controls, incident support, and proposed audit-cooperation terms to the NAIC Model Bulletin. It supports—not replaces—an insurer’s AIS Program.
Review the governance approachClaims pricing
Contract plans matched to the operation
Examiner
Contact sales
- Individual demand review
- Evidence-linked PDF controls
- Claim-file exports
Claims Team
Contact sales
- Shared organization workspace
- Roles, approvals, and audit trails
- Private claims analytics
Enterprise
Contact sales
- SSO and deployment planning
- Retention and legal-hold controls
- Volume and support terms
Development configuration. Pricing and document-processing credits are provisioned by contract; the workspace does not present an unannounced self-service subscription. No public price or ROI promise is represented as validated. Pipeline provides review assistance and does not guarantee claim outcomes, savings, or regulatory compliance.
Talk to Pipeline
Bring one workflow you want to improve.
Tell us about your claims operation, current demand volume, and the controls your security team requires. We’ll use a fictional demand in the demonstration.
Book a product conversation
Email the product owner with your organization, role, and preferred meeting windows.
Request a demo by emailNo claim documents or sensitive claimant information, please.