For the policyholder
Find potential issues while there is still time to clarify them with the hospital or provider. Prepare a more complete, consistent document bundle.
Pre-submission checks for policyholders. Document investigation for insurers. A shared AI workspace that connects bills, prescriptions and reports to the evidence a person needs to review.
Open the case workspace ↗Insurance claims can pass between a policyholder, hospital and insurer. Missing records, unclear bills and inconsistent details lead to questions, resubmissions and delays. Reviewers also need to investigate unsupported or potentially inflated charges.
Find potential issues while there is still time to clarify them with the hospital or provider. Prepare a more complete, consistent document bundle.
Compare what was prescribed, billed and documented. Investigate discrepancies and ask follow-up questions without manually searching every page.
Designed to support these workflows. BuildTheory does not guarantee acceptance, eliminate delays or establish fraud.
Which items need clarification before this claim moves forward?
Paracetamol is also billed at 20 tablets against 10 prescribed. These are leads to verify, not proof of fraud.
Inspect the sample’s source pages →Help policyholders find missing reports, unsupported bill items and quantity differences before submitting their claim.
Help insurer reviewers compare bills with prescriptions and reports, and identify amounts or items that need clarification.
Ask the AI to compare medicines, explain a bill or investigate a discrepancy using the original case PDFs.
Open cited pages and inspect highlighted text where it can be located. Verify each observation against the original evidence.
Insurer support staff can ask for an analysis, compare prescribed and billed quantities, or find tests without supporting reports. Live AI uses the original case PDFs and recent conversation context.
Answers link to document pages. When the cited text exists in the PDF’s text layer, the viewer highlights it. Unmatched citations are marked for verification. The public sample demonstrates this with a clearly labeled fixed response.
Extra medicines, quantity differences or missing reports may have legitimate explanations. A flag does not prove a fake bill or intent to deceive. BuildTheory does not approve, deny, price or adjudicate claims; humans verify documents and make decisions.
BuildTheory is preparing for private beta.
Start with the synthetic case to explore the current product.
The public sample contains entirely synthetic documents. No account or model key is needed for the replay.
Open sample workspace ↗