For the policyholder
Find potential issues while there is still time to clarify them with the hospital or provider. Prepare a more complete, consistent document bundle.
AGENTIC AI FOR INSURANCE OPERATIONS
Catch claim issues.
Before the next delay.
For policyholders preparing a claim and insurers reviewing it. BuildTheory compares prescriptions, bills and reports, flags potential discrepancies, and answers questions with page-linked evidence.
Currently in development. Assistive checks; decisions stay with people.
CROSS-DOCUMENT REVIEW
Three medicines prescribed. Five billed.
Which items need clarification before this claim moves forward?
Sample discrepancyAntacid and Vitamin C have no matching prescription entries
Paracetamol is also billed at 20 tablets against 10 prescribed. These are leads to verify, not proof of fraud.
Inspect the sample’s source pages →Real synthetic documents · page evidence · human review
Preview of the included sample; replay uses fixed extractions Run the sample →
THE PROBLEM
A claim shouldn’t become
an endless document chase.
Insurance claims can pass between a policyholder, hospital and insurer. Missing records, unclear bills and inconsistent details lead to questions, resubmissions and delays. Reviewers also need to investigate unsupported or potentially inflated charges.
For the insurance issuer
Compare what was prescribed, billed and documented. Investigate discrepancies and ask follow-up questions without manually searching every page.
Designed to support these workflows. BuildTheory does not guarantee acceptance, eliminate delays or establish fraud.
FROM PREPARATION TO INVESTIGATION
Two sides of a claim.
One evidence workspace.
Go beyond a summary: compare documents, investigate what doesn’t line up and open the source behind the answer.
Check before submission
Help policyholders find missing reports, unsupported bill items and quantity differences before submitting their claim.
Investigate discrepancies
Help insurer reviewers compare bills with prescriptions and reports, and identify amounts or items that need clarification.
Chat across the documents
Ask the AI to compare medicines, explain a bill or investigate a discrepancy using the original case PDFs.
Follow the source
Open cited pages and inspect highlighted text where it can be located. Verify each observation against the original evidence.
01Claim PDFs→
02Document specialists→
03Cross-document checks→
04Cited analysis & chat→
05Human review
PURPOSEFUL AI INFRASTRUCTURE
Read the bundle.
Connect the evidence.
Five specialized extraction tasks read policies, discharge summaries, bills, prescriptions and test reports. Cross-document checks compare those facts, while model synthesis and document chat inspect the original PDFs.
Questions such as “Which billed medicines lack a prescription?” return assistive analysis and source-page references. Searchable text can be highlighted for inspection; scanned or unmatched text requires manual verification.
Explore the architecture →BUILDING WITH INTENTION
Help shape the
next workflow.
BuildTheory is preparing for private beta.
Start with the synthetic case to explore the current product.
In development
Explore before you upload.
The public sample contains entirely synthetic documents. No account or model key is needed for the replay.
Open sample workspace ↗