Product

The Sequrin claims-integrity workspace

Sequrin brings claims review, relationship intelligence, signal rationale and case context into one place for medical-scheme integrity teams. Each view is designed to reduce the time spent reconstructing an investigation across disconnected systems.

The interface views below show the current Sequrin product using demonstration data.

Network intelligence

See what a single record leaves out.

Claims rarely exist in isolation. Connected views bring providers, members, facilities, timing and related claims into the same picture so investigators can see the relationships around an unusual record, not just the record itself.

Sequrin network view connecting claim, member and provider records.

Claims review

A queue that tells you why something is worth a look.

Claim state, risk context and investigation status can sit together instead of being scattered across separate tools. Investigators can see what surfaced, why it surfaced and where to go next.

Sequrin claims review queue with claim and entity references.

Desktop workspace

Keep the work in one place.

The desktop workspace is built around focused claims review inside an organisation's own boundary. It gives authorised users a dedicated view of the work without creating a second, disconnected version of the investigation.

Sequrin desktop overview with a claims-integrity summary.

Risk signals

Show why something surfaced.

Scores are more useful when the rules, related activity and claim context sit beside them. Sequrin keeps that rationale close to the record, where an investigator can inspect it without switching tools.

Sequrin desktop risk-signals view showing claim activity.

Product foundations

The useful parts work better together.

Signal intelligence

Rules, statistics and models find activity worth a second look and explain what drew attention to it.

Investigation workflow

Claims, evidence, relationships, notes and case history can stay together instead of being rebuilt from scattered alerts.

Governed access

Roles, permissions, organisation boundaries and a traceable record of important actions are built into how the workspace is meant to operate.

How it works

Follow the product through the investigation workflow.

The Approach page shows where each product capability enters the four-step process and what information should move forward with the work.