Secure AI Platform for Medical Claims Validation

OraClaim helps defense lawyers and claims professionals validate medical claims faster by turning unstructured records, statements, timelines, and exposure data into clear, searchable intelligence. Purpose-built for insurance defense workflows, the platform surfaces inconsistencies, treatment gaps, causation concerns, and reserve drivers so teams can reduce review time, improve accuracy, and make confident claim decisions.

AI dashboard for medical claims validation

Our Medical Claims Validation Services

AI-powered tools to review claim files, validate medical facts, assess exposure, and generate defense-ready work product.

Claims Intelligence

Turn unstructured claim files, medical records, statements, and expert reports into searchable, benchmarkable claims intelligence built specifically for insurance defense and claims operations.

Medical Chronologies

Generate chronological medical summaries from raw records, including providers, diagnoses, treatment, medications, complaints, outcomes, treatment gaps, pre-existing conditions, and citation-linked support.

Claim File Review

Automatically classify documents, extract key facts, and surface contradictions, causation issues, treatment inconsistencies, and missing information before they create reserve surprises.

Exposure Analysis

Continuously evaluate liability, damages, reserve adequacy, settlement value, medical specials, wage loss, liens, punitive risk, and developing claim exposure as files evolve.

Case Evaluation

Produce structured liability, damages, causation, reserve, settlement, and trial value evaluations in minutes using the full claim file and firm-specific reporting templates.

Automated Benchmarking

Benchmark claims against historical matters by case type, venue, judge, counsel, injury pattern, reserve range, settlement outcome, verdict history, and defense performance.

Claims Intelligence

Validate Medical Claims With Defense-Ready Intelligence

OraClaim gives defense teams a secure, access-restricted AI workspace for validating medical claim facts, reviewing records, identifying exposure drivers, and preparing litigation-ready outputs. Instead of wrestling with PDFs, emails, and scattered exhibits, teams get organized chronologies, citation-linked summaries, contradiction flags, and benchmarked insights that support reserve decisions, negotiations, motion practice, and trial preparation.

Claims team reviewing AI medical record insights
The OraClaim Difference

Why Choose OraClaim?

Purpose-built AI for the people responsible for defending, evaluating, and resolving claims.

Defense-Built

Designed specifically for defense lawyers, claims professionals, carriers, TPAs, and self-insured organizations.

Faster Review

Cuts claim file and medical record review time in half using automated classification.

Secure Platform

Closed, access-restricted workflows support privilege, confidentiality, encryption, authentication, and data protection.

System Integrations

Connects with Clio, MyCase, NetDocuments, iManage, Worldox, Box, and other platforms.

Meet The OraClaim Team

Experienced leaders building secure claims intelligence for defense teams.

Portrait of Mark Tepper, Co-founder and CEO of OraClaim

Mark Tepper

Co-founder & CEO

Mark Tepper is the Co-founder and CEO of OraClaim, an AI-powered platform purpose-built for defense lawyers and claims professionals. Drawing on his firsthand experience litigating claims and managing risk for enterprise companies and insurers, Mark identified a critical gap in the defense ecosystem: overwhelming claim volumes compounded by manual processes and unstructured data. This insight drove him to co-found OraClaim with the mission of leveling the playing field against plaintiff firms leveraging technology. Mark brings deep legal and risk management expertise to the company, guiding its strategic vision and ensuring the platform delivers real, measurable value to defense teams across the United States. His commitment to improving the lives of those who manage and defend claims is at the heart of everything OraClaim builds.

Portrait of Andy Anderson, Co-founder and Head of Sales at OraClaim

Andy Anderson

Co-founder & Head of Sales

Andy Anderson is the Co-founder and Head of Sales at OraClaim, bringing extensive expertise in insurance risk analysis and high-exposure claims management. Having spent his career analyzing risk for insurers and managing complex, high-stakes claims, Andy developed a deep understanding of the inefficiencies that put defense teams at a disadvantage relative to plaintiff firms embracing technology. This experience inspired him to co-found OraClaim alongside Mark Tepper, with the shared goal of transforming how defense lawyers and claims professionals work. As Head of Sales, Andy is dedicated to connecting defense organizations across the United States with OraClaim's AI-driven platform, helping them scale capacity, reduce costs, and achieve better outcomes on every claim without sacrificing quality.

Portrait of Ali Khan, Co-founder and Head of Engineering at OraClaim

Ali Khan

Co-founder & Head of Engineering

Ali Khan is the Co-founder and Head of Engineering at OraClaim, a seasoned data security engineering leader who plays a central role in building and safeguarding the platform's technical foundation. Recognized for his expertise in secure system architecture, Ali was brought on by co-founders Mark Tepper and Andy Anderson specifically to ensure that OraClaim's AI platform meets the highest standards of encryption, authentication, and data protection. His work underpins the trust that defense lawyers, insurance carriers, and claims organizations place in the platform every day. Ali is committed to delivering a robust, secure, and scalable solution that integrates seamlessly with existing practice management and document management systems, empowering defense teams to work smarter without compromising on security or accuracy.

Frequently Asked Questions

Do insurance companies use AI to review claims?

Yes. Insurance carriers, TPAs, self-insured organizations, and defense firms increasingly use AI to review claim files, organize documents, extract key facts, identify treatment patterns, and assess exposure. OraClaim is built for defense-side claim review, helping authorized users surface inconsistencies, causation concerns, reserve drivers, and medical chronology details while preserving attorney review and professional judgment.

Is there an AI for medical billing?

How does OraClaim validate medical claims?

Who is OraClaim built for?

Can OraClaim create medical chronologies from raw records?

Does OraClaim replace attorneys or claims professionals?

What systems does OraClaim integrate with?

How secure is OraClaim for sensitive claim files?

Have More Claims AI Questions?

Talk with OraClaim about secure workflows for your defense team.

Industry Connected

Awards and Recognition

DRI membership logo

DRI Member

Connected to leading defense bar community.

FDCC membership logo

FDCC Member

Recognized defense and corporate counsel network.

ADC membership logo

ADC Member

Aligned with defense counsel professional standards.

Ready To Validate Claims Faster?

Tell us about your claims workflow, file volume, and current review process. OraClaim will help you evaluate whether AI-powered claims intelligence is the right fit for your defense team.

Contact Us Today

For immediate assistance, feel free to give us a direct call at (650) 550-2920. You can also send us a quick email at legal@oraclaim.com.