Chhayarani Technologies

Chhayarani Technologies Chhayarani Technologies Chhayarani Technologies

Chhayarani Technologies

Chhayarani Technologies Chhayarani Technologies Chhayarani Technologies

AI-Powered Decision Support for Health Insurance Claims

AI-Powered Decision Support for Health Insurance ClaimsAI-Powered Decision Support for Health Insurance ClaimsAI-Powered Decision Support for Health Insurance ClaimsAI-Powered Decision Support for Health Insurance Claims

 SEFALI is our modular AI platform  

 built to simplify and standardize complex operational workflows 

Get Started Today
Learn More

SEFALI™ — The PMAC Platform

 

 

SEFALI is a PMAC (Private Modular AI Core) platform designed for
compliance-heavy, document-intensive industries.

It combines:

  • Deterministic rule engine
  • Controlled AI reasoning 
  • Full audit trails
    to deliver explainable, reliable decision support.

SEFALI is built as a plug-in based system, where multiple products can be deployed on the same core engine.

MediClaimAI™ — AI-Assisted Claim Processing

 

 

 

MediClaimAI is SEFALI’s plug-in product, built for Health Insurance TPAs.

It assists claim teams by:

  • Reading medical bills, discharge summaries, and supporting documents 
  • Extracting structured medical and billing data 
  • Matching information against policy and package rules 
  • Generating approve / query / reject suggestions with reasons
  • Creating audit-ready reports and logs

About MediClaimAI

HOW IT WORKS

  • Work as an extension over current portal
    PDFs, images, scanned bills, discharge summaries
  • AI + Rule Analysis
    Medical data extraction and policy compliance checks with pre-defined insurer rules
  • Decision Suggestion Generated
    With reasoning and rule references
  • Audit-Ready Outputs
    Logs, reports, and exception summaries

WHO IT IS FOR

 

  • Third Party Administrators (TPAs)
  • Health Insurance Operations Teams
  • Audit & Compliance Units

WHY IT MATTERS

WHY IT MATTERS

 

  • Reduces manual claim review time
  • Improves consistency across decisions
  • Supports doctors by reducing routine workload 
  • Strengthens audit and compliance readiness

Contact Us: chhayarani.tecnologies@gmail.com

Questions or Comments?

We know that our clients have unique needs. Send us a message, and we will get back to you soon.

Message us

Chhayarani Technologies

Copyright © 2026 Chhayarani Technologies Pvt. Ltd - All Rights Reserved.

Powered by

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

Accept