Three composite cases
Claims triage, invoice matching and policy answers: three kinds of work we deploy and run for clients.
All three run on Gatehouse, the control plane we built and operate.
- SCOPE1
- ROLE2
- LIMITS3
- REVIEW4
- SEAL5
- CLAIMS TRIAGEfiles checked and routed, unsure ones held
- INVOICE MATCHINGlines matched, exceptions held
- POLICY ANSWERSanswered with citations, or held
The three cases
Claims triage at a regional TPA
The problemIncoming claims needed first-pass document checks, sorting and routing.
The outcomeThe first pass runs around the clock and each routing decision carries its reason.
Capabilities
Invoice matching for a distributor
The problemInvoices needed a three-way match, under a spend limit.
The outcomeClear invoices go through as ERP drafts, and each exception shows its sources.
Capabilities
Policy answers with named escalation
The problemPolicy questions needed answers, with least-privilege access to the policy library.
The outcomePeople only get answers the system can back up, and corrections become labelled examples.
CapabilitiesComposite cases, and where Gatehouse tells them
What a composite case is
Client work from more than one engagement, with names and figures changed, anonymised by agreement and labelled. No case on this site names a customer.
Where Gatehouse tells the same cases
The product site tells the same three cases in brief, with the capabilities each one draws on. The cases on Gatehouse
Bring one process.
Tell us what comes in, who handles it and where it goes wrong. A person replies, usually inside two business days.
support@surehand.io