ClauseCheck
ClauseCheck reads a health insurance claim and decides whether to pay it, and it shows its work. Every clause it relies on comes with the insurer, section and page. When it can't find the evidence it doesn't guess; it hands the case to a human.
The payable amount comes from a plain Python rules engine, because I wanted the same claim to give the same number every time. On a small set of labelled cases it beat a basic RAG setup on verdicts, citations and recall.
- LangGraph
- Chroma
- BM25
- Groq
- Ollama
- Gradio