CognitoClaims is engineered from the first line of code for the regulatory environment of Singapore and the region.
Decision models designed and monitored against FEAT principles — with fairness testing across cohorts, human-in-the-loop controls on adverse outcomes, and clear accountability for every automated decision.
Purpose limitation, consent handling, data-residency and retention controls native to the platform — personal health data handled the way Singapore law expects, with breach-readiness built into operations.
Built with reference to Singapore's guidelines for AI in healthcare: clinical safety, explainability, defined human oversight, and continuous monitoring of model behaviour in production.
Complete, immutable decision trails on every claim — the clause applied, the benchmark referenced, the model version, the override. Ready for your internal auditors and your regulator, on demand.
Health-claims data is among the most sensitive data an organisation holds. Our deployment model starts from that fact.
Fine-tuned models deployed inside your VPC or on-premise. Full capability, zero data leaving your environment.
API-first, designed to sit alongside legacy core systems and TPA workflows — no rip-and-replace project.
Active R&D in privacy-preserving computation for insurer–provider data exchange — collaboration without exposure.
Not if you don't want it to. Our reference deployment runs the full engine — models, data, decisions — inside your VPC or on-premise. Nothing crosses your perimeter.
No. The engine approves clean claims straight through, but adverse decisions are designed for human review — the AI prepares the analysis and the evidence; your assessor makes the call. Every override is captured in the same audit trail.
Our ingestion models are built for the mixed-language reality of Southeast Asian healthcare documents. Fields extracted with low confidence are routed to human review — never silently guessed.
API-first. The engine sits alongside your existing core system, claims workflow, or TPA platform and takes work from it — you don't replace what you run today.
Every decision carries an immutable, step-by-step trail: the policy clauses applied, the benchmarks referenced, the model version used, and any human involvement. It exports in an audit-ready format on demand.
We built this for their questions. Seriously — bring them.
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