Back to the discharge queue
Ravi Kumar, claim C-101
What this demo claim shows: Nothing to fix. Shows that a complete file passes straight through.
Not run yet
1. Claim file
Synthetic patient and documentsInsurer and policy
Sahyog General Insurance (fictional), Arogya Shield Plus, sum insured Rs 5,00,000
Policy since
2022-03-10
Room
General ward, Rs 3,500 a day for 2 days
Desk note
Planned discharge 11:30 today
Documents in the file
2. Bill lines and evidence
Not checked yet| Line | Description and code | Amount | Evidence |
|---|---|---|---|
| L1 | Laparoscopic appendectomy package PKG-APPX-LAP | Rs 44,000 | Not checked |
| L2 | Pharmacy, post-operative medicines PHA-OP-221 | Rs 2,850 | Not checked |
| L3 | USG abdomen RAD-USG-ABD | Rs 1,900 | Not checked |
3. Policy checks
Deterministic rules engine, not the language modelThe rules run when the agent calls the policy tool. Each result cites the clause it comes from.
4. Agent trace
0 tool callsLLM planner, gpt-4.1-miniThis deployment has a model configured. The language model will choose each tool call; you will see its reasoning notes.
Press Run the agent. Every card is a real tool call with its input and output; nothing is pre-recorded.
7. Messages with the insurer
Hospital and insurer go back and forth here until the claim is approved or rejectedLoading the conversation.