Overview
Claims Processing Application was developed to determine whether a claim can be approved or denied. This application was developed by using Langchain, RAG, OpenAI, Prompt Engineering and Llama-Index technologies. It mainly consists of two models
- Policy Model: This model stores all PDF documents related to health care benefits, in the form of embeddings
- Claims Approval Model: This model takes in a claim input and determines the status of the claim based on the health care embeddings stored using the Policy model
How to Use
- To upload a policy
- Click on Policy from the navigation bar
- Click on Browse files and upload the health care benefits PDF file
- Click on Upload Policy
- Once the PDF is processed and stored in the form of vectors, a success message will be shown
-
To determice a claim status
- Click on Claim from the navigation bar
- Enter all the claim details in the form
- Click on Process Claim
- A message will be shown whether given claim can be APPROVED or DENIED
