Manual audit capacity is fixed. As claims expense volume grows, the percentage of transactions actually reviewed falls, and control quietly weakens. Carriers running Sapiens ClaimsPro (core claims system) often handle automated invoice audit outside the claim system, which means exporting claim details, assignments, invoices and payment data by hand and reconciling it later.
Every invoice in scope is checked automatically against contract terms and fee schedules, so reviewers spend their time on the exceptions the rules flag rather than on routine lines. Sapiens ClaimsPro connects through VIP's integration layer (API, SFTP or custom). A carrier on Sapiens ClaimsPro would send claim details and assignments into VIP and receive invoices and payment data back; the exact method and field mapping are scoped with your team.
Sapiens ClaimsPro connects through VIP's integration layer (API, SFTP or custom). Tell us about your Sapiens ClaimsPro setup and we'll scope the connection for automated invoice audit.
Sapiens ClaimsPro connects through VIP's integration layer (API, SFTP or custom). The exact connection is scoped with your team.
Claim details; Assignments; Invoices; Payment data.
Automated invoice audit is built for carrier teams using Sapiens ClaimsPro, at the expense stage of the claim.
Sapiens ClaimsPro integrationAutomated invoice audit workflow