See past the individual claim
Bring providers, members, facilities, timing and related activity into the same view so investigators can see patterns a single record would miss.
For medical schemes
A connected view for your integrity team, without handing your decisions to a black box.
Sequrin is built to sit around the claims-integrity work your team is already doing: spotting unusual activity, understanding what's connected to it, investigating efficiently and keeping the decisions that matter with the people accountable for them.
Where Sequrin fits
We sit around your existing claims operation, not on top of it.
Sequrin is not trying to replace your core administration, payment or clinical systems. Its job is to help your integrity team move from analytical attention to useful investigation context faster.
Your scheme keeps the judgement calls. Sequrin helps surface and organise what may deserve attention.
Point time at what matters
Prioritised signals can help limited investigative capacity move toward activity that actually deserves a closer look.
Keep the investigation together
Signals, relationships, evidence and case history can stay in one operating view instead of being pieced together across disconnected tools.
Start small, on purpose
This is not a transformation programme. It is a test.
You do not need to redesign your claims operation around Sequrin to find out whether it helps. Start with one bounded question, an agreed dataset, real investigator review and clear criteria for what “worked” actually means.
- 01
Define
Agree on the claims-integrity question, the scope and what success would look like.
- 02
Map
Work out which claims and reference fields are actually needed to test the question properly.
- 03
Test
Run the bounded evaluation and let your investigators judge what is useful and what is noise.
- 04
Decide
Use what was measured, not what was promised, to decide whether anything further makes sense.
What we'd need from you
Enough context to give the product a fair test.
- A clear claims-integrity question or review objective
- Relevant data with stable identifiers for the entities in scope
- Investigators or subject-matter experts who can judge whether the output is genuinely useful
- Someone who owns privacy, access and governance boundaries
- Agreement on the evaluation measures before results are interpreted
A practical next step
Bring one question worth testing.
The point of a pilot is to find out honestly whether Sequrin adds useful investigative value inside your scheme. It should be entirely possible for the answer to be no.