On-Premise HIPAA Claims Automation

Automate Ingestion.
Win Insurance Disputes.

Transform remittance advices, EOBs, and policy papers into clean financial ledgers in seconds. Audit co-insurance share splits and appeal underpayments using a 100% Private AI Stack.

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97.6%

Claims Automated

82%

Faster Appeals

Data Public Leakage

LIVE ADAPTIVE PIPELINE STATUS

Active Model: Healthcare-LLM-9B

MD5 Cache Deduplication: MATCH_HIT

SQLite Transactions: WAL_STABLE

Targeted Audit Capabilities

Winning Dispute & Appeal Cases Across the Healthcare Lifecycle

Generic OCR and manual data entry bleed thousands in claims leakage. YuniQ Settle applies custom intelligence designed specifically to dispute underpayments and reverse wrong denials.

Remittance Underpayment Auditing

Instantly checks incoming payer remittance amounts against negotiated contract schedules, immediately flagging underpaid services for recovery.

Co-Insurance Share Split Audits

Calculates co-insurance splits, patient deductible accumulation caps, and policy maximums to resolve disputes and verify co-pay assistance.

CARC/RARC Denial Appeals

Maps complex Claim Adjustment Reason Codes (CARC) and Remark Codes. Auto-generates structured clinical appeal documents to dispute payer claims.

Adaptive OCR Scan Grid Alignment

Applies a multi-engine layout alignment cascade that reconstructs tabular medical items from skewed, faxed, or high-noise scans.

Zero-Token Cache Deduplication

Integrates local file hashing to skip processing of identical or duplicate claims automatically, saving 100% of GPU compute and database overhead.

HITL Operator Verification

Provides dedicated intake specialists and appeal reviews with an interactive, side-by-side audit panel to confirm adjustments before exporting records.

Interactive Preview

Pluggable Intake Portal Widget

YuniQ Settle features an embeddable, low-code portal intake widget. Securely drag-and-drop remittance docs from any third-party patient portal or clinical workflow to automate ingestion instantly.

Embed with Two Lines of Code:

 <!-- Target HTML Container -->
 <div id="yuniq-settle-widget" data-token="ys_live_9a38"></div>
 <!-- Load Widget Bundle -->
 <script src="https://cdn.yuniq.ai/settle.js" async></script> 

✓ Pluggable Anywhere

Embeds inside Salesforce, external client websites, patient support portals, e-fax systems, or internal dashboard folders.

Select a template document to simulate upload:

Real-time adaptive PHI extraction boundary simulation

Processing File

Template File Name

Document Type

1 Uploading file to local Private Stack (SHA-256 validation)...

2 Deskewing page & executing Adaptive OCR cascade...

3 Local Healthcare LLM parsing clinical schemas...

Extraction & Audit Complete (99.4% Conf)

No underpayment detected.

Payer: Blue Cross Blue Shield

Billed Sum: $12,450.00

Payer Repayment: $10,820.00

Adjustment Sum: $1,630.00

Mapped Code: PR-1 (Deductible)

Status Code: Matched to Profile

Illustrative Use Case

Recovering $78,400 in Claim Underpayments

For a typical multi-specialty provider with 12,000 monthly claims struggling with claim denials and manual parsing rates, replacing manual vendors with YuniQ Settle's Private AI stack changes the game. If this matches your case, this could be your savings.

Typical Challenge

Processing paper remittance advices costs $6.50/claim in manual labor and results in an average 8.2% un-appealed claim underpayment rate.

The YuniQ Solution

Integrate a plug-in portal widget to automate PDF scraping and map incoming CARC denial remarks with a local Healthcare LLM.

Projected Outcomes & Savings

Ingestion costs drop to $0.15/claim, denial appeal cycles accelerate by 82%, and up to $78.4K in missing insurer underpayments can be recovered within 90 days.

Calculate Your Custom ROI

Based on validated metrics from our on-premise deployments.

Your Monthly Claim Volume 6,500 claims

500 25,000 50,000

Your Manual Ingestion Cost (Per Claim) $6.50 / claim

$2.00 $8.50 $15.00

Manual Processing Cost

$42,250.00

At $6.50/claim manual standard rate

YuniQ Settle Cost

$975.00

At $0.15/claim hosting & token rate

Net Annual Savings

$495,300.00

Claim Savings

Protected Local Network

All clinical extraction, OCR deskewing, and LLM text inferences execute locally within your private servers. No patient records are ever sent to external cloud APIs.

Local vLLM

Zero Public Transits

SQLite WAL

Encrypted Storage

PHI Compliance

A 100% Private AI Stack Designed to Safeguard Patient Data

Medical claims containing patient names, diagnosis codes, and billing details are protected health information (PHI) under HIPAA. Relying on public cloud models introduces massive regulatory and compliance liabilities.

Zero Data Leakage

YuniQ Settle uses a local vLLM endpoint hosting open-weights models specialized in Healthcare on secure, on-premise GPUs. No text fragments are ever transmitted to OpenAI, Microsoft, or third-party cloud models.

Local Retention Control

All document PDF assets, OCR extractions, and SQLite WAL data tables are stored in your secure directories and wiped automatically based on your custom compliance retention schedules.

✓ HIPAA COMPLIANT ✓ SOC 2 READY ✓ AES-256 ENCRYPTED ✓ HITRUST ALIGNED

Target Stakeholders

Tailored Solutions Across the Claims Lifecycle

Learn how healthcare groups deploy YuniQ Settle to automate audits and secure PHI.

01 / Healthcare Providers

Dispute Underpayments & Overturn Denials

Automatically reconcile incoming payer checks and EOB statements. Flag Procedure adjustments (CPT discrepancies), map CARC denial codes, and auto-draft appeal justifications to claim unpaid revenue.

02 / Third-Party Administrators (TPAs)

Scale Multi-Payer Auditing Operations

Accelerate high-volume line-item billing reviews. Extract and verify allowable reimbursement schedules and procedure modifications across thousands of claims without expanding offshore review teams.

03 / Co-Pay Assistance Teams

Verify Deductibles & Co-insurance Share

Parse patient out-of-pocket receipts and insurer EOBs to calculate exact co-pay funding allocation and check policy maximum out-of-pocket limits before processing patient grants.

04 / Insurance Payers

Ingest Provider Billing & Map CARC

Ingest institutional medical claims, extract patient/disease profiles, audit procedure codes, map contract schedules, and run adjudication logic with 95%+ baseline accuracy.

FAQ

Frequently Asked Questions

YuniQ Settle automatically extracts Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) from EOBs and remittance advices. It cross-checks these codes against contracts and policy rules, flagging underpayments or wrongful denials. By providing structured clinical reasoning and automatically drafting appeal notes, it enables billing teams to challenge and win insurer dispute cases quickly.

Under HIPAA and PHI governance, sending medical billing details, names, or diagnosis records to public APIs is a huge liability. YuniQ Settle is built to run entirely inside your private cloud or on-premise hardware using a localized vLLM engine and storing all records in a local preferred database. No data ever leaves your secure boundary.

If a document doesn't have a native text layer, YuniQ Settle applies image deskewing, custom contrast scaling, and table alignment filters at 300 DPI. We combine OCR technology for text block analysis with Vision LLMs to extract multi-column table grids, preventing standard character drops common in basic OCR.

Yes. The intake widget is a self-contained, lightweight JS bundle. You can integrate it into any Salesforce instance, custom HTML dashboard, EHR portal, or automated email/e-fax intake route by inserting a simple pluggable <script> and container tag.

Ready to Automate Ingestion & Win Appeals?

Integrate our pluggable intake widget, automate EOB calculations, and audit claims underpayments securely on your private networks.

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Automate Ingestion. Win Insurance Disputes.