Every medical document. A clearer claims decision.
Medical document intelligence for insurers, TPAs and hospitals: AI that reads medical records and hospital tariffs, verifies identity and flags suspicious claims.
Medically reviewed by Dr. N. S. Santosh Varma, MBBS, FIIM, FIDM, FICCM · Medical Officer, YIRA MedSense · Updated 13 October 2026
In the news: MedSense has read 1 lakh+ medical documents for health claims
Confidence score
16 / 17 fields matched
Medical document intelligence, from raw document to integrated data.
A four-stage AI pipeline behind every claim.
Upload any way
API, mobile app or bulk scanner portal.
Read the medicine
Medical-grade OCR and NLP identify entities.
Check and standardise
Formatted for downstream systems.
Push to your platforms
Straight into the systems you use.
Three layers of intelligence. See what each one returns.
Documents in. Structured data out.
Medical histories, lab reports and tariffs become JSON, clinical fields and rate tables.
Facial recognition: is this the same patient?
Facial recognition compares the ID photo with the hospital image and scored, alongside a comparison of medical reports.
Flagged against the report's range
Handwriting to structured answers
Fraud detection with prior-record matching
Sample outputs. Confidence scores support reviewers and are not validated accuracy; a record match is a signal for investigation, not a fraud determination.
Read the tariff. Apply the rule.
Rules are contract-specific.
Built for insurance operations.
Insurers and TPAs
Claims data, identity checks and fraud signals in one platform.
Claims teams and medical officers
Less retyping. The decision stays with them.
Hospitals
Tariffs and records in a form payers can use.
Start with one workflow.
Sandbox
Agree documents, fields and review criteria.
Provision
Tenant, access and API credentials.
Integrate
Connect outputs to your claims workflow.
Go live
Run in parallel, monitor exceptions.
Subject to scope, data access and integration readiness.
Built for sensitive health data.
Compliance documents shared during evaluation. Client-managed deployment when data must stay with you.
Questions from claims teams
What is YIRA MedSense?
YIRA MedSense is a medical document intelligence platform for health insurers, TPAs and hospitals. It reads medical histories, lab reports and hospital tariffs, turns them into structured data, checks that the patient in the hospital matches the ID photo, and flags records that match earlier claims so investigators can review them.
Which documents can MedSense read?
Medical histories (including handwritten notes), lab reports, discharge and billing documents and hospital tariffs — as scanned PDFs, digital PDFs or mobile photos. Output is structured JSON with clinical fields, lab values and rate tables.
Can MedSense read handwritten medical records?
Yes. Handwritten medical histories are converted into structured question-and-answer fields that a claims team can review and search.
How does MedSense help detect health insurance claim fraud?
It compares every new document with earlier parsing results and shows which fields match a previous record (for example 16 of 17 fields, with 4 prior matches). These are review signals for your investigators, not a fraud decision.
Does MedSense decide if a claim is fraudulent?
No. It surfaces matches, identity scores and inconsistencies. Every decision stays with your medical officers and investigators.
How does facial verification work for health claims?
MedSense compares the ID photo with the photo taken at the hospital and returns a confidence score in words, so the team can confirm the admitted patient is the insured person.
What does MedSense do with hospital tariffs?
It turns tariff documents into procedure-level rate tables, applies contract rules by room category, and keeps any missing rate visible as NA instead of guessing.
How does MedSense connect to our systems?
Through JSON and APIs, into TPA portals, insurance claim systems, hospital EMRs and analytics databases. Client-managed deployment is available.
How long does a rollout take?
About 4–5 weeks: sandbox, provisioning, integration and go-live, depending on scope, data access and integration readiness.
Is MedSense secure and compliant?
Yira is ISO 9001:2015 certified and MedSense is built to SOC 2, HIPAA and GDPR requirements, with human review in the loop for every decision.
Book your demo today.
See MedSense on the documents and fields that matter to your claims team.