Datrics

Datrics is an AI decision engine for claims processing and other regulated operations. It takes a claim from intake to adjudication: extracting data from medical and supporting documents, automating benefit code assignment, validating claims against rules and regulation, auditing post adjudication outcomes and scoring every decision with a human readable rationale. Deterministic rules, machine learning models and large language models are combined in one modular workflow engine, with an immutable audit ledger recording every action. It is built for healthcare payers, insurers and public sector institutions that must automate at volume without losing explainability or control. Human in the loop governance lets teams route exceptions and low confidence decisions to configurable review queues. The platform is API first with versioned REST endpoints, offers real time analytics dashboards and continuous QA monitoring, and deploys as SaaS, in a private cloud on GCP, Azure or AWS, or in sovereign infrastructure with full data residency control. Security posture is described as HIPAA aligned and GDPR ready with SOC 2 on the roadmap, plus encryption and role based access control. The vendor reports more than 90 percent automatic claims validation in a public sector production deployment. Pricing is not published. Datrics sells a paid enterprise pilot that runs four to eight weeks from scoping to production, with commercial terms quoted per engagement.