Stop reviewing 2% of claims.
Start reviewing all of them.
Strator MedNex analyzes every health insurance claim for fraud, waste, and abuse — automatically, in seconds, with full reasoning.
RS Ananda Bekasi
29 Aug
RS Limih Medika Jakarta
31 Jul
RS Sudarto Subur
15 Sep
RS Medika Prima
02 Oct
RS Harapan Kita
18 Oct
2,847
127
0.3s
The Problem
Random checks miss billions in leakage
Rp 15T+
Lost annually to claims leakage in Indonesia
health insurance
5–10%
Of all claims contain fraud, waste, or abuse
industry average
<2%
Of claims are manually reviewed by most insurers
current coverage
Platform
Built for insurance. Powered by AI.
FWA Detection Engine
Pattern-matching AI trained on Indonesian health insurance claims. Identifies fraud, waste, and abuse indicators across every claim automatically.
Document Intelligence
Extracts and cross-references invoices, medical records, and receipts — any format, any quality.
Real-Time Processing
Sub-second analysis. Thousands of claims processed simultaneously.
Portfolio Analytics
Spot systemic issues, outlier providers, and emerging fraud rings across your portfolio.
TPA Adjudication Review
Re-verify TPA decisions with AI. Catch errors before they cost you.
Analyst Workbench
Review flagged claims with full context, supporting documents, and AI explanations — all in one place.
How It Works
From submission to insight. Automatically.
Watch every claim flow through six stages of AI-powered analysis — no manual review needed.
Batch claim documents — invoices, receipts, medical records — arrive automatically via secure transfer. Every format supported.
klaim_jul_2024.pdf
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klaim_agt_2024.pdf
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klaim_sep_2024.pdf
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100%
Claims analyzed
0.3s
Average analysis time
47x
More claims reviewed vs manual
98.5%
Detection accuracy
Founders
Insurance insider, AI expert & enterprise technologist fixing Indonesia's broken health claims system.
Kevin
CEO
- Oversees Rp77B (~US$4M), 25K insured members & 10K claims of FPG's group health insurance portfolio
- First-hand experience in TPA frustrations and claim bottlenecks
Jonathan
CPO
- Led AI governance at Prodago (Gartner "Cool Vendor") with enterprise clients
- Led Data & AI at Bukalapak, serving 70M+ users
- Entrepreneur in Residence at Build Club Jakarta
Henry
CTO
- 10Y+ enterprise automation expert in software engineering, RPA and low-code platforms
- Built & sold 6K+ licenses of Insightzilla — generating Rp3B (~US$200K) in revenues
Get Started
See MedNex in action
Book a 30-minute personalized demo. We'll walk through your claims workflow and show exactly where Strator catches what manual review misses.
In the demo, you'll see