Claimwell is sold as a ladder, not a monolith. Two products stand alone and never touch a decision. The lifecycle agents arrive one at a time, in a fixed order, with the control plane underneath them. At every rung the same rule holds: Claimwell never makes an adverse decision.
Each one has its own page, its own pitch, and its own answer to the person who could say no.
Every inbound document captured, matched to its claim, labeled, and written into your claims system with the provider, the service dates, and the codes already filled in. Same day. Every page traceable.
A file that already knows what it contains, what changed since the examiner last looked, and where it says so. Clinical summaries for the nurse. Citations that open the page. Annotates, never decides.
Intake, Ongoing Management, Decisioning, then Transition and Appeals. Each one does the work of a stage and hands your examiner a package to sign or send back. Added in a fixed order, with the control plane underneath.
Simulated claimants, employers, and providers with realistic imperfections. Scripted scenarios with expected outcomes. Accelerated time. Run your hardest claims through any change before it touches a real one.
Buy one rung. Climb when you're ready. Each agent requires the ones before it.
The standalone products are deliberately light. They need one adapter and an audit store. The workflow runtime, the model gateway with task routing, the constraint checker, and the strategy layer arrive with the first agent, because that is the first time Claimwell is in a loop that leads to a decision.
One integration to your claims system's document, contact, and activity endpoints. Every write carries a rationale and a citation, from day one.
Durable claims that suspend for weeks and resume. Sixteen named human-in-the-loop points. Cardinal rules enforced in code. A named Claimwell team operating the agents in your account.
Standalone, Claimwell is not in the loop and your decisioning framework is untouched. With agents, everything up to the signature is ours to stand behind: the indexing, the chasing, the calculation, the clocks, the recommendation. No denial, termination, or reduction leaves without an examiner's signature, and the signature is yours.
The Mail Room needs your claims system's document, contact, and activity endpoints. Nothing else.