Datrics

Datrics is an enterprise-grade AI decision engine designed to automate claims and regulated operations in healthcare, insurance, and public-sector organizations. It combines deterministic rules, machine learning, and large language models into a modular workflow engine that ingests, normalizes, validates, and resolves claims and documents with explainable, auditable decisions.

How It Works

The platform follows a five-step workflow: Ingest documents via secure APIs, Normalize with AI extraction, Validate using rules and models, Automate end-to-end workflow orchestration, and Monitor through real-time analytics and QA.

Key Features

• API-first architecture with secure REST APIs
• Hybrid engine combining rules, ML, and LLMs
• Explainable decision layer with human-readable rationale
• Human-in-the-loop governance for high-stakes decisions
• Immutable audit ledger
• Cloud-native on GCP, Azure, AWS, or sovereign private cloud

Use Cases

• Benefit code automation and medical document extraction
• Post-adjudication audit and regulatory compliance validation
• Real-time dashboards and continuous QA monitoring

Who It’s For

Enterprises and regulated institutions in healthcare, insurance, and public sectors that require high accuracy, auditability, and compliance (GDPR-ready, HIPAA-aligned, SOC2 roadmap).

Key Benefits

• 90%+ claims auto-validation in production public-sector deployment
• Explainable decisions with human-readable audit trail
• Rapid deployment to production in under 12 weeks
• API-first integration for seamless orchestration