What this work looks like today
A health claim has to be read, checked for admissibility against the plan, and priced. The clinical documents and the plan rules sit in different places, and the adjudicator holds both in their head.
ARIS holds that role. It reads the case, works it through the bench below, and returns a decision with the reasoning attached. Accountability for that decision stays with you.
One Worker, a bench of agents
ARIS is not a single model answering a prompt. It is a role, and underneath it sit agents that each do one part of the case. Scrutiny runs first on every case, whichever Worker holds it.
Checks whether the application is complete against the product SOP and raises what is missing.
Reads the documents and pulls out the data points. Stops and asks for a re-upload if the scan is not readable.
Cross-verifies the critical data points across documents and sources.
This group is part of medical work on this Worker, and the individual agents inside it are not published yet.
This group is part of admissibility work on this Worker, and the individual agents inside it are not published yet.
This group is part of financial work on this Worker, and the individual agents inside it are not published yet.
Every output passes the same five checks
The bench above is how the work gets done. This is what every piece of it has to survive before anything leaves.
Configurable oversight
You set the boundary. Autonomy widens on your terms, not ours.
Auditable
Every step and every input retained, in the form an examiner asks for.
Creditable
Cited to the policy you set, line by line.
Zero bias
Same input, same answer, every time, and provably so.
Hard-grounded
Grounded in your data and your manual. Nothing invented in the gap.
Bring one queue
and a month of decided files.
Run ARIS alongside your own team before it decides anything, so the comparison is against your people and your policy.