Now with AI-powered duplicate detection

Reconcile Claims.
Eliminate Financial Leakage.

ClaimReconX automatically matches claims to remittances, detects duplicates, flags variances, and generates compliance-ready reports — reducing reconciliation from days to seconds.

Start Free Trial

Match Accuracy

Claims Processed

<2s

Avg Match Time

Organizations

app.claimreconx.io/dashboard

Total Claims

↑ 340 this month

Paid Claims

87.2% of total

Outstanding

KES 0M

1,644 claims

Variance

-KES 84K

23 exceptions

Monthly Claims vs Payments

Reconciliation Status

● Matched 72% ● Partial 18% ● Open 10%

Features

Everything you need to close the loop on payments

Built for hospitals, insurers, TPAs, and any organization dealing with high-volume claims and remittances.

⚡

Smart Matching Engine

Multi-criteria fuzzy matching with confidence scoring. Matches by claim number, patient ID, amount, date, and payer — automatically.

→

🔍

Duplicate Detection

AI-powered duplicate payment identification. Scans across batches and time periods to catch both exact and near-duplicate claims.

→

📊

Variance Analysis

Automatically classifies underpaid, overpaid, and denied claims. Generates exception reports with one click.

→

📁

Universal File Import

Upload any CSV, Excel (XLSX/XLS), or ODS file. Smart column detection maps headers automatically — no templates required.

→

🔗

API-First Integration

RESTful API with HMAC-SHA256 auth, webhooks, and sandbox environment. Integrate into your HMIS, ERP, or billing platform.

→

🛡️

Audit Trail & Security

Every action is logged with user, timestamp, IP, and before/after values. Role-based access, 2FA, and SOC 2-aligned architecture.

→

📈

Advanced Reports

Remittance summaries by payer, aging analysis, outstanding balances, trend charts. Export to PDF or Excel in one click.

→

⏱️

Real-time Processing

Queue-based async processing handles millions of records without timeouts. Get results in seconds, not hours.

→

🏢

Multi-Org SaaS

Fully isolated tenants. Each organization has its own data, users, API keys, and settings. White-label available on Enterprise.

→

How It Works

From upload to reconciled in 4 steps

No setup, no configuration, no IT team required.

Upload Claims

Import your claims file in any CSV or Excel format. ClaimReconX auto-detects all column names — no reformatting.

Upload Remittances

Drop your payer remittance advice file. Multiple payers and multiple batches — all handled automatically.

Auto-Reconcile

The matching engine runs instantly — matching by claim number, amount, patient, and date with confidence scoring.

Review & Export

Resolve exceptions, close variances, and export audit-ready reports in PDF or Excel with one click.

Try it free — no setup needed →

Testimonials

Trusted by finance teams across Africa

"We used to spend 3 days every month reconciling SHA claims in Excel. ClaimReconX cut that to 20 minutes. The duplicate detection alone has saved us over KES 200,000 this year."

Jane Kamau

Finance Manager, Nairobi General Hospital

"The API integration was straightforward — we connected our HMIS in a weekend. Now claims flow automatically and we get webhook notifications the moment a remittance is processed."

Brian Ochieng

CTO, MediClaim Africa

"Finally a reconciliation tool built for African healthcare. The variance reports go straight to our board and the audit trail satisfies our external auditors completely."

Esther Njeri

CFO, Highlands Medical Centre

Integration API

Your data. Your systems. Our engine.

ClaimReconX provides a clean, secure REST API — similar to how Safaricom Daraja works. Authenticate once, submit claims, upload remittances, and query reconciliation status from any system.

✓ HMAC-SHA256 signed tokens — never send your secret again

✓ Sandbox + production environments for safe testing

✓ Real-time webhooks for claim, remittance, and exception events

✓ Per-key rate limits & IP allowlisting for security

✓ OpenAPI 3.0 documentation with code examples

View API Docs Get API Access

reconciliation.js

// 1. Authenticate — get a short-lived token
const { data } = await fetch('/api/v1/auth/token', {
  method: 'POST',
  body: JSON.stringify({
    api_key:    'rxk_live_Xk9m...',
    api_secret: 'your_secret'
  })
}).then(r => r.json());
const token = data.access_token;

// 2. Submit a claim
await fetch('/api/v1/claims', {
  method: 'POST',
  headers: { Authorization: `Bearer ${token}` },
  body: JSON.stringify({
    claim_number:    'CLM-2024-001',
    payer_name:      'SHA',
    billed_amount:   25000,
    submission_date: '2024-01-15'
  })
});

// 3. Pull reconciliation summary
const { data: summary } = await fetch(
  '/api/v1/reconciliation/summary',
  { headers: { Authorization: `Bearer ${token}` }}
).then(r => r.json());

console.log(summary.total_variance); // → -60000

Pricing

Simple, transparent pricing

Start free. Scale as you grow. No hidden fees, no per-transaction charges.

Frequently asked questions

Is there a free trial?▾

Yes — every plan includes a 14-day free trial with full access to all features. No credit card required to start.

Can I import my existing data?▾

Absolutely. ClaimReconX accepts any CSV, Excel (XLSX/XLS), or ODS file. Smart column detection handles any header naming — no reformatting needed.

How does the API authentication work?▾

Similar to Safaricom Daraja: you use your API key and secret to get a short-lived HMAC-signed Bearer token, which you use for all subsequent requests. Full OpenAPI 3.0 documentation is available.

Is my data secure and isolated?▾

Yes. All data is encrypted at rest (AES-256) and in transit (TLS 1.3). Each organization has completely isolated data — no shared tables. Every action is logged in an immutable audit trail.

Can I reconcile claims from multiple payers?▾

Yes — ClaimReconX supports unlimited payers per organization. SHA, AAR, Jubilee, Britam, or any custom payer. Remittance summaries are broken down by payer automatically.

What happens if I exceed my plan limit?▾

You will receive a notification when you approach your limit. You can upgrade your plan at any time from the billing settings page, effective immediately.

Reconcile Claims.Eliminate Financial Leakage.