Claims

Claims assistant

Answers questions about claims, members, decisions and eligibility by calling the same read-only queries the workbench uses, on apac.amazon.nova-pro-v1:0 via Amazon Bedrock. It cites IDs, respects the role you pick, and writes every turn to the audit chain.

I am a

Claims examinerSees claims, lines, pricing, rules, notes, attachments and AI recommendations.Member servicesSees claim status, amounts and member-facing explanations. Clinical notes, attachments and AI internals are hidden.Data stewardSees identities, steward cases and the claims attached to them.Compliance auditorSees everything, including decision internals and the audit chain.

Signed in as R. Patel (Claims Examiner II). Access is enforced on the server, per tool, for this role.

Try asking

Ask about a claim, a member, a decision, eligibility or the queue. Every answer comes from lookups against the lakehouse and cites the IDs it used; nothing is made up.

Grounded on lookupsRole-scoped toolsEvery turn auditedNo SSNs