Adopt solutions built by practitioners.
Vidal Health provides technology solutions across the full Payer lifecycle — from claims and fraud to underwriting, provider networks, and member engagement. Purpose-built for health insurance, with intelligence embedded in every workflow where it matters.
What brings you here?
Select your challenge — we’ll take you straight to the right solution.
Modular by design. Connected by intelligence.
Every Vidal Health product solves a specific problem on its own. Deployed together, they share data and decision context across every workflow — compounding value that disconnected systems can never produce.
The operational backbone of your health insurance business.
VINGS runs the complete insurance lifecycle — policy, claims, underwriting, provider management, fraud, and billing — on a single connected system. Cognitive intelligence is built throughout, so the platform doesn't just process transactions. It supports better decisions at every step of the adjudication cycle. No stitching systems together. No gaps in the intelligence layer.
- Supports ICD-9, ICD-10 AM/CM, CPT, CDT, Drug codes, ADA guidelines for Dental
- Modular by design — adopt specific capabilities or the full system
- Clinical intelligence built into adjudication from the ground up
- Designed for health insurance operations — not adapted from another vertical
Fraud doesn't announce itself. Your detection shouldn't wait for it.
ClaimShield runs 7.5mn+ medical rules to identify clinical abuse — Clinician patterns, high cost service trends, cross-rule correlations, and more. For paper-driven reimbursement claims, our digitization engine converts unstructured handwritten or printed documents into structured output, with fraud checks covering document tampering, AI manipulation, syndicate analysis, and more.
- Clinical rules engine built for health insurance fraud and billing patterns
- Cognitive AI detects what rules alone cannot catch across claims history
- Document intelligence flows directly into fraud checks
- Integrate at the time of claims processing or post-payment audit
Clean data doesn't happen by accident. It starts at the document.
Every claims decision is only as reliable as the data behind it — and that data starts with a document. ENIGMA extracts structured, usable information from any health insurance document, across formats and languages, and feeds it directly into adjudication and fraud detection. What used to require a manual handling step becomes an automated input. Deploy standalone, or embedded inside VINGS as the data quality layer the entire platform depends on.
- Processes scanned, digital, handwritten, and multi-language documents
- Structured output feeds directly into claims and fraud workflows
- Removes the manual document-handling bottleneck from high-volume operations
- Standalone or embedded within VINGS — your choice
Live in weeks.
Not after a two-year project.
API-first and modular. Connect the capability you need now — without displacing your current systems. Expand the suite on your own timeline.
See a live walkthroughWe map your workflows, clinical rules, policy logic and regulatory environment — then configure the platform around your operations, not the other way around.
API-first architecture and pre-built connectors integrate our solutions with your existing claims, TPA, and hospital systems. No infrastructure replacement. No data migration risk.
Joint POC using your actual claims, documents and operational data — with a parallel run against your current system until both sides are confident.
Go live with dedicated operational support. Add modules at your own pace as the business grows and new operational needs emerge.
Why Vidal Health, not a generic platform.
Most insurance technology was built to process transactions. Vidal was built to run the operation — with two decades of health insurance focus, and an architecture where every function shares the same intelligence layer.
20 years of practitioner expertise.
Two decades of focus on a single vertical. Built around the operational reality of health insurance — claims logic, clinical complexity, provider contracting, and multi-market regulation.
Start with one. Scale to the suite.
Every Vidal Health product solves a real problem on its own and connects into the wider suite. Solve your most urgent gap first — expand as your needs grow, without re-platforming.
Intelligence in the workflow, not alongside it.
Clinical AI is embedded inside adjudication, fraud detection, and document processing — not a reporting layer applied after the fact. Better decisions happen where decisions are made.
Infrastructure built for insurance scale.
Cloud-native architecture designed for enterprise claim volumes and live health insurance uptime requirements. Scale is built in — not bolted on.
Configured around your operations.
Your clinical rules, policy logic, and regulatory requirements are built in before go-live — not generic defaults you work around. Implementation is a structured partnership from day one.
Built by Doctors and Engineers.
Our team combines clinical expertise with deep engineering — bringing together the domain knowledge of practitioners and the technical rigour to embed it into scalable, production-grade systems.
Your operation is the best place to start.
Walk through the suite with our team — in the context of your workflows, your challenges, and your market. No standard demo.