{"id":50454,"date":"2026-08-30T15:39:03","date_gmt":"2026-08-30T15:39:03","guid":{"rendered":"https:\/\/parashift.ai\/?page_id=50454"},"modified":"2026-08-30T16:06:25","modified_gmt":"2026-08-30T16:06:25","slug":"claims-settlement","status":"publish","type":"page","link":"https:\/\/parashift.ai\/en\/insurance\/claims-settlement\/","title":{"rendered":"Claims Settlement"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"50454\" class=\"elementor elementor-50454 elementor-50452\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-pvcs001 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"pvcs001\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div 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.note{font-size:13px;color:rgba(255,255,255,.75);}\n<\/style>\n\n<div class=\"psvr-scope\">\n\n<div class=\"herowrap\">\n<div class=\"pagehead\">\n  <div class=\"wrap\">\n    <div class=\"pagehead-grid\">\n    <div>\n    <div class=\"crumb\"><a href=\"\/en\/\">Parashift<\/a><span class=\"sep\">\/<\/span><a href=\"\/en\/insurance\/\">Insurance<\/a><span class=\"sep\">\/<\/span><span class=\"here\">Health &amp; Accident Claims Settlement<\/span><\/div>\n    <span class=\"eyebrow\">Insurance \u00b7 Use-Case<\/span>\n    <h1>Health and accident insurance claims settlement.<\/h1>\n    <p class=\"lede\">Medical and accident invoices reach health and accident insurers as Physician invoices, SwissDRG case bills, UVG accident notifications, or MTF XML files. Parashift extracts diagnosis, tariff position, treatment date, and invoice amount in structured form, automatically matches them against the applicable tariffs, and hands them off validated to your core system.<\/p>\n    <div class=\"ctas\">\n      <a class=\"btn\" href=\"\/en\/demo\/\">Book a Demo<\/a>\n      <a class=\"btn ghost\" href=\"\/en\/insurance\/\">Parashift for Insurance<\/a>\n    <\/div>\n    <div class=\"microproof\">\n      <span><i class=\"dot\"><\/i> VAG \u00b7 FINMA outsourcing-compliant<\/span>\n      <span><i class=\"dot\"><\/i> DORA \u00b7 EU AI Act Art. 6(3)<\/span>\n      <span><i class=\"dot\"><\/i> C5 \u00b7 SOC 2 \u00b7 ISO 27001<\/span>\n    <\/div>\n    <\/div>\n    <div class=\"extractcard\">\n      <div class=\"ec-top\"><span class=\"ec-id\">Medical invoice \u00b7 outpatient<\/span><span class=\"ec-pill ok\">Tariff checked<\/span><\/div>\n      <div class=\"ec-body\">\n        <div class=\"ec-thumb\">\n          <svg width=\"60\" height=\"76\" viewBox=\"0 0 60 76\" fill=\"none\">\n            <path d=\"M6 2h32l14 14v58a2 2 0 0 1-2 2H6a2 2 0 0 1-2-2V4a2 2 0 0 1 2-2z\" fill=\"var(--bg-alt)\" stroke=\"var(--line)\" stroke-width=\"1.5\"\/>\n            <path d=\"M38 2v12a2 2 0 0 0 2 2h12\" fill=\"none\" stroke=\"var(--line)\" stroke-width=\"1.5\"\/>\n            <line x1=\"12\" y1=\"32\" x2=\"42\" y2=\"32\" stroke=\"#c7d0e0\" stroke-width=\"2.5\" stroke-linecap=\"round\"\/>\n            <line x1=\"12\" y1=\"41\" x2=\"42\" y2=\"41\" stroke=\"#c7d0e0\" stroke-width=\"2.5\" stroke-linecap=\"round\"\/>\n            <line x1=\"12\" y1=\"50\" x2=\"30\" y2=\"50\" stroke=\"#c7d0e0\" stroke-width=\"2.5\" stroke-linecap=\"round\"\/>\n            <line x1=\"12\" y1=\"60\" x2=\"36\" y2=\"60\" stroke=\"#1f9d6f\" stroke-width=\"2.5\" stroke-linecap=\"round\"\/>\n          <\/svg>\n        <\/div>\n        <div class=\"ec-fields\">\n          <div class=\"ec-row\"><span>Insured person<\/span><b>Fankhauser, Nadine<\/b><\/div>\n          <div class=\"ec-row\"><span>Diagnosis (ICD-10)<\/span><b>S82.2 \u00b7 Tibial shaft fracture<\/b><\/div>\n          <div class=\"ec-row\"><span>Tariff position<\/span><b>17.0210<\/b><\/div>\n          <div class=\"ec-row\"><span>Invoice amount<\/span><b>CHF 1,240.50<\/b><\/div>\n        <\/div>\n      <\/div>\n      <div class=\"ec-foot\">Tariff checked, diagnosis validated, ready for payout<\/div>\n    <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n\n<section class=\"trustband\">\n  <div class=\"wrap\">\n    <div class=\"trustlogos\">\n      <span class=\"logobox lg\"><span class=\"axa-mark\" role=\"img\" aria-label=\"AXA\"><\/span><\/span>\n      <span class=\"logobox lg\"><span class=\"swica-mark\" role=\"img\" aria-label=\"SWICA\"><\/span><\/span>\n      <span class=\"logobox sm\"><img decoding=\"async\" src=\"https:\/\/parashift.ai\/wp-content\/uploads\/2025\/11\/pax_a.avif\" alt=\"Pax\"><\/span>\n      <span class=\"logobox\"><img decoding=\"async\" src=\"https:\/\/parashift.ai\/wp-content\/uploads\/2026\/08\/css-versicherung-logo.svg\" alt=\"CSS\"><\/span>\n      <span class=\"logobox\"><img decoding=\"async\" src=\"https:\/\/parashift.ai\/wp-content\/uploads\/2025\/11\/orion_wobg.avif\" alt=\"Orion\"><\/span>\n    <\/div>\n  <\/div>\n<\/section>\n<\/div>\n\n<section>\n  <div class=\"wrap\">\n    <div class=\"section-head\">\n      <span class=\"eyebrow\">The process today<\/span>\n      <h2>A dozen tariff systems, one review process per invoice.<\/h2>\n    <\/div>\n    <p class=\"prozess-lead\">Medical and accident invoices reach health and accident insurers in completely different formats: Invoices from independent physicians, SwissDRG case-based bills from hospitals, UVG invoices billed against the SUVA tariff, plus pharmacy, physiotherapy, and therapy invoices, and electronic MTF XML files from data exchange platforms. <strong>Every invoice has to be checked against diagnosis, tariff position, and treatment plausibility before payout<\/strong> \u2014 today largely through manual entry into the core system, which becomes a bottleneck for the claims team at high invoice volumes and delays queries back to providers.<\/p>\n  <\/div>\n<\/section>\n\n<section class=\"alt\">\n  <div class=\"wrap\">\n    <div class=\"section-head\">\n      <span class=\"eyebrow\">Document list<\/span>\n      <h2>What Parashift recognizes in every settlement.<\/h2>\n      <p>Regardless of the tariff system, the benefit-relevant fields are captured in structured form and made available for tariff review.<\/p>\n    <\/div>\n    <div class=\"doclist\">\n      <div class=\"doc\">\n        <h4><span class=\"dicon\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.6\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><rect x=\"4\" y=\"3\" width=\"16\" height=\"18\" rx=\"1.5\"\/><path d=\"M8 8h8M8 12h8M8 16h5\"\/><\/svg><\/span>Medical invoice (outpatient)<\/h4>\n        <div class=\"fields\"><span>Diagnosis (ICD-10)<\/span><span>Tariff position<\/span><span>Treatment date<\/span><span>Invoice amount<\/span><\/div>\n      <\/div>\n      <div class=\"doc\">\n        <h4><span class=\"dicon\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.6\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><rect x=\"3\" y=\"4\" width=\"18\" height=\"16\" rx=\"2\"\/><path d=\"M3 8h18\"\/><path d=\"M8 4v4\"\/><\/svg><\/span>SwissDRG hospital invoice (inpatient)<\/h4>\n        <div class=\"fields\"><span>Case number<\/span><span>DRG code<\/span><span>Length of stay<\/span><span>Invoice amount<\/span><\/div>\n      <\/div>\n      <div class=\"doc\">\n        <h4><span class=\"dicon\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.6\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><rect x=\"3\" y=\"6\" width=\"18\" height=\"13\" rx=\"1.5\"\/><path d=\"M3 10h18\"\/><path d=\"M7 14h4\"\/><\/svg><\/span>UVG accident notification &amp; invoice<\/h4>\n        <div class=\"fields\"><span>Accident date<\/span><span>SUVA tariff position<\/span><span>Policy number<\/span><span>Invoice amount<\/span><\/div>\n      <\/div>\n      <div class=\"doc\">\n        <h4><span class=\"dicon\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.6\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"9\"\/><path d=\"M8 12h8M12 8v8\"\/><\/svg><\/span>Pharmacy &amp; medication invoice<\/h4>\n        <div class=\"fields\"><span>Pharma code<\/span><span>Quantity<\/span><span>Unit price<\/span><span>Prescription reference<\/span><\/div>\n      <\/div>\n      <div class=\"doc\">\n        <h4><span class=\"dicon\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.6\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"9\"\/><path d=\"M12 7v6l4 2\"\/><\/svg><\/span>Physiotherapy &amp; therapy invoice<\/h4>\n        <div class=\"fields\"><span>Number of sessions<\/span><span>Tariff code<\/span><span>Prescription<\/span><span>Invoice amount<\/span><\/div>\n      <\/div>\n      <div class=\"doc\">\n        <h4><span class=\"dicon\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.6\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M4 20v-3a4 4 0 0 1 4-4h8a4 4 0 0 1 4 4v3\"\/><circle cx=\"12\" cy=\"7\" r=\"4\"\/><\/svg><\/span>MTF XML invoice (data exchange)<\/h4>\n        <div class=\"fields\"><span>Invoice ID<\/span><span>Provider GLN<\/span><span>Tariff system<\/span><span>Amount<\/span><\/div>\n      <\/div>\n    <\/div>\n    <p style=\"margin-top:22px;font-size:13.5px;color:var(--ink-faint);\">Additional documents such as chiropractic or occupational therapy invoices are recognized just as reliably and routed to the matching tariff system.<\/p>\n  <\/div>\n<\/section>\n\n<section>\n  <div class=\"wrap\">\n    <div class=\"section-head\">\n      <span class=\"eyebrow\">Workflow<\/span>\n      <h2>From intake to payout.<\/h2>\n    <\/div>\n    <div class=\"flow\">\n      <div class=\"step\"><div class=\"n\">01 \u00b7 INTAKE<\/div><h4>Paper, scan, portal, MTF XML<\/h4><p>Medical and accident invoices arrive through every channel at once and are ingested centrally.<\/p><\/div>\n      <div class=\"arrow\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\"><path d=\"M5 12h14M13 6l6 6-6 6\"\/><\/svg><\/div>\n      <div class=\"step\"><div class=\"n\">02 \u00b7 EXTRACTION<\/div><h4>Diagnosis, tariff position, amount<\/h4><p>Document AI captures every benefit-relevant field in structured form, regardless of tariff system.<\/p><\/div>\n      <div class=\"arrow\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\"><path d=\"M5 12h14M13 6l6 6-6 6\"\/><\/svg><\/div>\n      <div class=\"step\"><div class=\"n\">03 \u00b7 TARIFF CHECK<\/div><h4>Tariff schedule, SwissDRG, SUVA tariff<\/h4><p>Automatic matching against the tariff schedule and diagnosis plausibility before release.<\/p><\/div>\n      <div class=\"arrow\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\"><path d=\"M5 12h14M13 6l6 6-6 6\"\/><\/svg><\/div>\n      <div class=\"step\"><div class=\"n\">04 \u00b7 PROCESSING<\/div><h4>Core system &amp; payout<\/h4><p>Cleared claims flow in structured form into the core system and out to the provider's payout.<\/p><\/div>\n    <\/div>\n  <\/div>\n<\/section>\n\n<section class=\"alt\">\n  <div class=\"wrap\">\n    <div class=\"section-head\">\n      <span class=\"eyebrow\">Target systems<\/span>\n      <h2>Integrates with your claims and core system.<\/h2>\n      <p>Low-code connection through documented REST APIs, with no need to replace your existing infrastructure.<\/p>\n    <\/div>\n    <div class=\"systems\">\n      <span>Adcubum<\/span><span>Guidewire<\/span><span>SAP<\/span><span>msg.Global<\/span><span>Insiders Solution<\/span><span>Sumex tariff review<\/span><span>In house systems<\/span>\n    <\/div>\n    <p style=\"margin-top:28px;\" class=\"prozess-lead\"><strong>Compliance:<\/strong><\/p>\n    <div class=\"compliance-line\">\n      <span><i class=\"dot\"><\/i> VAG outsourcing requirements (FINMA)<\/span>\n      <span><i class=\"dot\"><\/i> DORA, in force since Jan 17, 2025<\/span>\n      <span><i class=\"dot\"><\/i> EU AI Act Art. 6(3) (procedural support task)<\/span>\n      <span><i class=\"dot\"><\/i> C5 \u00b7 SOC 2 \u00b7 ISO 27001<\/span>\n    <\/div>\n  <\/div>\n<\/section>\n\n<section>\n  <div class=\"wrap\">\n    <div class=\"section-head\">\n      <span class=\"eyebrow\">Impact<\/span>\n      <h2>What changes for your claims department.<\/h2>\n    <\/div>\n    <div class=\"effektband\">\n      <div class=\"effekt\"><div class=\"num\">90%<\/div><p>of medical and accident invoices captured automatically, SwissDRG and SUVA tariff included<\/p><\/div>\n      <div class=\"effekt\"><div class=\"num\">3 Days<\/div><p>to a live pilot in your claims department<\/p><\/div>\n    <\/div>\n  <\/div>\n<\/section>\n\n<section class=\"alt\">\n  <div class=\"wrap\">\n    <div class=\"section-head\">\n      <span class=\"eyebrow\">Success story<\/span>\n      <h2>How AXA uses Parashift to settle medical claims.<\/h2>\n    <\/div>\n    <div class=\"case\">\n      <h3>AXA Health automates the processing of medical claims documents.<\/h3>\n      <p>AXA Health uses Parashift's IDP platform to automatically process different types of medical claims documents, reducing processing time and operational costs.<\/p>\n      <p>With Parashift's IDP platform, AXA Health has successfully integrated a solution that enables a large number of documents to be processed automatically and the data to be validated.<\/p>\n    <\/div>\n  <\/div>\n<\/section>\n\n<section>\n  <div class=\"wrap\">\n    <div class=\"hubcard\">\n      <div>\n        <h3>One use case among many for insurance.<\/h3>\n        <p>Property &amp; liability claims processing, cost coverage approvals, and underwriting documents follow the same principle: read, review, hand off to the core system.<\/p>\n      <\/div>\n      <a class=\"btn ghost\" href=\"\/en\/insurance\/\">All use cases for insurance \u2192<\/a>\n    <\/div>\n  <\/div>\n<\/section>\n\n<section class=\"finalcta\">\n  <div class=\"wrap\">\n    <h2>Process claims settlements automatically and audit-ready.<\/h2>\n    <p>Book a no obligation 30 minute briefing: we will show you the processing of medical and accident invoices on real example documents.<\/p>\n    <div class=\"ctas\"><a class=\"btn\" href=\"\/en\/demo\/\">Book a 30 Minute Briefing<\/a><\/div>\n    <p class=\"note\">Reply the same business day \u00b7 no sales pressure<\/p>\n  <\/div>\n<\/section>\n\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Parashift\/Insurance\/Health &amp; Accident Claims Settlement Insurance \u00b7 Use-Case Health and accident insurance claims settlement. Medical and accident invoices reach health and accident insurers as Physician invoices, SwissDRG case bills, UVG accident notifications, or MTF XML files. Parashift extracts diagnosis, tariff&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":48498,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"content-type":"","footnotes":""},"class_list":["post-50454","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/parashift.ai\/en\/wp-json\/wp\/v2\/pages\/50454","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/parashift.ai\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/parashift.ai\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/parashift.ai\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/parashift.ai\/en\/wp-json\/wp\/v2\/comments?post=50454"}],"version-history":[{"count":400,"href":"https:\/\/parashift.ai\/en\/wp-json\/wp\/v2\/pages\/50454\/revisions"}],"predecessor-version":[{"id":51011,"href":"https:\/\/parashift.ai\/en\/wp-json\/wp\/v2\/pages\/50454\/revisions\/51011"}],"up":[{"embeddable":true,"href":"https:\/\/parashift.ai\/en\/wp-json\/wp\/v2\/pages\/48498"}],"wp:attachment":[{"href":"https:\/\/parashift.ai\/en\/wp-json\/wp\/v2\/media?parent=50454"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}