The engine behind
every claim.
VINGS runs the entire policy and claim lifecycle for Payers — Member Enrolment, Empanelment, Product & Policy configuration, Pre-Authorisation, Claim Processing, Financial Operations, and Re-Insurance, all in one connected system.
Why insurers are
losing ground.
Legacy infrastructure isn’t just slow — it compounds into billions in fraud, operational failure, and member attrition every year.
Policy, claims, network, fraud, and billing run on separate legacy systems with no shared data layer.
Manual data entry slows every decision. Members wait days for approvals that should be instant.
Static rule engines miss dynamic fraud patterns. Organised schemes evolve faster than legacy systems respond.
Credentialing driven by email and spreadsheet. No real-time network visibility or contract lifecycle management.
One platform. Every insurance workflow.
VINGS is the shared intelligence layer that unifies claims, fraud detection, provider networks, and member experience — eliminating the fragmented stack.
Claims
End-to-end claims administration — pre-authorisation, adjudication, appeals, and payment — automated on the VINGS shared data layer.
FWA
Clinical AI + 10,000+ cognitive rules detect fraud, waste, and abuse before payment — across every claim, every provider, in real time.
Provider
Provider empanelment, credentialing, contract lifecycle, and performance management — fully automated across the network.
ENIGMA
AI document intelligence that extracts structured data from any format — handwritten forms, PDFs, images — feeding directly into FWA and Claims.
Policy
Build, issue, and manage any policy type — individual, group, or government — with full automation from product config to document generation.
Member
White-label member portal and mobile app — claims filing, provider search, benefits view, and real-time status — built on the VINGS data layer.
Analytics
Cross-module intelligence: loss ratio, fraud trend analysis, utilisation, actuarial modelling — all refreshed live from the VINGS data bus.
From first request
to final payment.
Six orchestrated stages. Every handoff automated. Every decision tracked.
Clinical guidelines applied in real time. Standard procedures auto-approved. Complex cases reviewed with supporting clinical rationale.
ENIGMA extracts structured data. FWA scores against 10,000+ indicators. Suspicious patterns isolated before adjudication begins.
Claims auto-adjudicated by AI with support for ICD 9/10 AM/CM codes, CPT, CDT, and Drug codes. Complex cases pre-loaded with full context — clinical history, provider profile, FWA score — for specialist review.
Structured appeals workflows triggered automatically. Policy terms cross-referenced. Reviewers receive full decision history — no context rebuilding required.
Automated payment trigger on approval. Reconciliation runs without intervention. Audit trail auto-generated. Member notified in real time.
Unified analytics surface loss ratio, fraud trends, and utilisation. AI models retrained on live data. Actuary dashboards auto-refreshed without manual extracts.
See VINGS running your insurance operations.
Our solutions team will walk you through a demo built around your exact workflows, volumes, rules, regulatory environment, and scale. No generic slides.