Adjudicate, detect fraud and settle — at scale
Replace legacy claims software with an intelligent system of record: real-time eligibility, automated vetting, AI fraud scoring and one-click provider settlements.
Run the whole operation in one place
Automated vetting
Rules, tariff and policy checks applied the moment a claim lands.
AI fraud intelligence
Catch duplicates, upcoding and anomalies before you pay.
Settlement engine
Batch, approve and pay providers, then auto-reconcile.
Instant eligibility
Verify members on the structured Member ID schema in milliseconds.
Approval controls
Role templates, approval limits and immutable audit logs.
Loss-ratio analytics
Utilization, leakage and latency in living dashboards.
AI that catches fraud before you pay for it
Every claim is scored the instant it arrives — surfacing duplicates, tariff breaches and anomalies with explainable confidence, so your team reviews what matters and approves the rest with certainty.
- Duplicate & double billing
- Tariff-breach & upcoding
- Utilization anomalies
- Eligibility & lapse risk
₦0.0B+
Exposure flagged
0%
Detection precision
0.0s
Avg. scan time
0%
Leakage reduced
“Duplicate claim suspected — CLM-24812 billed twice in 48h.”
Modernize your claims operation
See how leading HMOs run vetting, fraud and settlements on Vetra.