AI-Driven Document Intelligence

ENIGMAs advanced scanning and OCR engine extracts data from medical documents, invoices, and prescriptions. It cleans up, classifies, and validates documents, detecting blank pages, distortions, and suspicious edits.

Fraud Detection & Risk Scoring

Built-in tools detect document tampering, forged content, inflated pricing, and duplicate claims. The platform uses AI to analyze provider, agent, and customer behavior and assigns risk scores to entities involved.

Automated Claims Co-Pilot

ENIGMA acts as a co-pilot for your claims agents. It verifies SOP adherence, maps benefits, and aligns claims with product nuances – all while recommending decisions using a cognitive engine. The result? Faster claims, happier customers.