Claim Quality · Revenue Assured

AI that reviews every medical claim like your best senior claims auditor.

MedSure AI reviews every medical claim before submission, detects documentation gaps, coding errors, insurer compliance issues and revenue risks — then recommends precise corrections to maximize first-pass approval.

Built for hospitals, day-care centres, specialist clinics and insurers. Works with any HMIS or as a standalone platform.

AI Claim Command Center
Claim Status · READY FOR SUBMISSION
Overall Readiness
98%
Expected Approval
97%
Revenue Protected
KES 248,000
Revenue At Risk
KES 0
Fraud Risk
LOW
Audit Grade
A+
AI Confidence
99%
Median Latency
< 2s
AI detected 6 issues before submission
All auto-resolved or flagged with corrections
ICD diagnosis lacked specificity
Corrected automatically
Missing clinician signature
Located on page 12
Drug dosage inconsistent
Recommended correction
Theatre report missing
Required attachment flagged
Duplicate billing item
Removed
Incorrect procedure code
Suggested CPT replacement
KES 18,642,300
Revenue Protected Today
8,742
Claims Audited
KES 4,183,920
Potential Revenue Recovered
96%
Average Readiness Score
27s
Average Review Time

Live network activity across MedSure AI-enabled facilities.

Business outcomes

Hospitals don't buy AI. They buy stronger financial performance.

Higher first-pass approval

Catch every issue before the insurer does.

Faster reimbursement

Cleaner claims. Fewer queries. Shorter A/R cycles.

Lower revenue leakage

Recover revenue lost to preventable rejections.

Stronger audit readiness

Every decision is explainable and traceable.

Reduced manual rework

One senior auditor's rigor on every single claim.

Continuous quality gains

The system learns from your history and gets sharper.

MedSure AI automatically detects each insurer's requirements and validates every claim against the applicable policies, coding standards and documentation requirements — no manual setup, no per-insurer configuration.

How it works

From document upload to "ready to submit" in seconds.

Medical documents uploaded
Claim Form
Discharge Summary
Progress Notes
Lab Results
Pharmacy Invoice
Theatre Notes
Radiology Report
Preauthorization Letter

PDF, JSON, XML, Excel, CSV, FHIR. Single file or full-packet ZIP up to 2GB.

AI processing pipeline
01
Medical Document Intelligence
02
Claim Quality Assurance
03
Revenue Intelligence
04
AI Recommendations
READY TO SUBMIT

Before vs After

The same claim — with and without MedSure AI.

Current claim
Readiness
74%
Approval Probability
63%
Revenue At Risk
KES 186,000
Rejected Items
7
After MedSure AI
Readiness
98%
Approval Probability
97%
Revenue At Risk
KES 0
Rejected Items
0
Preventable issues
For decision-makers

Understand the business case in minutes.

For technical teams

Integrate with any HMIS, in days — not months.

MedSure AI doesn't replace your billing team — it equips every billing officer with the knowledge, consistency and analytical capability of an experienced senior claims auditor, helping hospitals submit cleaner claims, recover more revenue and continuously improve claim quality over time.

Contact

Talk to the MedSure AI team.

A HabJoshTech product. Reach out about pilots, HMIS integration, insurer onboarding or managed support.