AI-Powered Claims Processing

Intelligent OCR for
Healthcare Claims

Extract, validate, and process medical claim documents with AI precision. Purpose-built for insurance operations handling 40,000 - 60,000 documents monthly.

< 3s
Processing Time
95%+
Extraction Accuracy
EN/CN
Bilingual Support
60K+
Docs/Month
Platform

Three Components, One Platform

A complete solution covering every touchpoint in the claims lifecycle.

Mobile App Integration

Seamless OCR within your existing mobile app. Users capture or upload documents and receive instant structured results.

  • Camera capture, gallery, document picker
  • Auto-populated fields with confidence scores
  • Edit low-confidence fields before submitting
  • 3-month receipt date validation
  • English & Chinese bilingual UI
Core

REST API

Simple REST endpoint — send a document, get structured JSON back. Integrates with any platform in minutes.

  • Single endpoint: POST /extract
  • JPEG, PNG, GIF, WebP, PDF support
  • Per-field confidence scoring (0-10)
  • Document validation & rejection reasons
  • OpenAPI/Swagger documentation

Claims Admin Portal

Web-based admin console for your claims team to review, validate, and manage all submissions.

  • Real-time dashboard with live polling
  • View OCR-extracted data with confidence
  • Approve / reject workflow
  • AI assessment per claim
  • Search, filter & audit trail
Process

How It Works

From document upload to structured data in seconds.

STEP 1

Upload

Image or PDF via API or mobile app

STEP 2

AI Vision

AI vision reads & understands the document

STEP 3

Extract

Structured fields with confidence scores

STEP 4

Validate

User reviews & corrects low-confidence fields

STEP 5

Submit

Claim stored & routed to admin for review

Integration

One API. Any Platform.

A single REST endpoint that integrates with your mobile app, employee portal, and claims admin system.

POST /api/v1/extract
cURL Request
# Upload any receipt or claim document
curl -X POST "https://api.skubbs.com/api/v1/extract" \
  -H "X-API-Key: your-api-key" \
  -F "file=@claim_document.pdf"
Supported Formats
JPEG PNG PDF GIF WebP
Auth
X-API-Key

API key in header

200 Response
JSON Response
{
  "success": true,
  "data": {
    "is_valid_receipt": true,
    "is_submittable": true,
    "overall_confidence": 8.7,
    "fields": {
      "receipt_date": {
        "value": "2026-01-15",
        "confidence": 9.5
      },
      "merchant": {
        "value": "Raffles Medical Clinic",
        "confidence": 9.2
      },
      "amount": {
        "value": 328.50,
        "confidence": 9.8
      },
      "member_name": {
        "value": "Tan Wei Ming",
        "confidence": 8.5
      },
      "line_items": {
        "value": [
          { "description": "Consultation",
            "amount": 80.00 },
          { "description": "Medication",
            "amount": 248.50 }
        ],
        "confidence": 8.5
      }
    },
    "ai_comment": "Clear medical receipt."
  }
}

Integration Points for IHP

IHP Mobile App

Call POST /extract from your app. We return structured data you render in your UI.

IHP Employee Portal

Same API for web-based claims submission. Your portal sends documents, we return extracted data.

IHP Claims Admin Portal

Use GET /admin/claims to pull submissions. Approve, reject, and add reviewer notes via API.

Technical

Architecture

Built for reliability, security, and scale.

IHP Mobile App
iOS / Android
Employee Portal
Web
Claims Admin
Web
HTTPS / REST
SkubbsVision API
FastAPI / Python
Auth Middleware
OCR Extraction
PDF Processing
Claims CRUD
Encrypted
AI Vision Engine
AI Vision Engine
PostgreSQL
Claims Storage
Python 3.10+ FastAPI AI Vision Engine Vision PostgreSQL Docker React Native React Tailwind CSS
Intelligence

Smart Confidence Scoring

Every extracted field comes with an AI confidence score, letting users and reviewers know exactly what needs attention.

8 - 10
High Confidence

Clear, unambiguous data. Auto-accepted — no user review needed.

5 - 7
Medium Confidence

Some ambiguity. Fields are editable — user prompted to verify.

0 - 4
Low Confidence

Significant uncertainty. Field highlighted for manual entry.

Robust

Handles Any Document

Dual-path PDF processing ensures maximum extraction success.

Text-based PDFs

Digital PDFs with embedded text are parsed directly — fast and accurate.

PDF → Text Extraction → AI Analysis → JSON

Scanned / Image PDFs

Scanned documents auto-fallback to vision processing — no manual intervention.

PDF → Image Conversion → AI Vision → JSON
Today's Demo

Live Demonstration

Walkthrough of the complete claims lifecycle.

1

Mobile App

  • Upload claim PDF / capture receipt
  • See real-time OCR extraction
  • Confidence-based field editing
  • 3-month date validation
  • English & Chinese forms
  • Submit to claims system
2

API & Integration

  • Live API call via Swagger UI
  • Real-time JSON response
  • Multi-format support demo
  • Confidence scoring in action
  • Error handling showcase
  • OpenAPI documentation
3

Admin Portal

  • Real-time claims dashboard
  • View OCR-extracted details
  • Review uploaded documents
  • Approve / reject workflow
  • AI assessment per claim
  • Search & filter claims
Data

What We Extract

Comprehensive field extraction tailored for healthcare claims.

📅
Receipt Date
YYYY-MM-DD
🏢
Merchant
Clinic / Hospital
💰
Amount
Total (number)
💲
Currency
SGD, USD, MYR
🏷
Category
Medical, Dental...
👤
Member Name
Patient name
📋
Receipt Number
Invoice ID
🩺
Diagnosis
Medical reason
📜
Policy Number
Insurance policy reference
📝
Line Items
Itemized charges with quantities & prices

+ Dynamic fields — the AI may return additional fields based on document content

Ready to Transform Claims Processing

Built by Skubbs Private Limited for Integrated Health Plans

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© 2026 Skubbs Private Limited. All rights reserved.  |  Confidential — Prepared for IHP Evaluation