Every claim checked against the policy
Korva applies the policy terms to every claim line: deductibles, lasers, exclusions, you name it. You know what is reimbursable before you file, not when a denial comes back.
Stop loss is the riskiest part of
self-funded health plan operations,
and it's still done by hand.
Korva's AI agents take it from
first claim
to final reimbursement.
Korva runs your stop loss reimbursements
from start to finish. AI agents do the work,
you approve what gets sent, and every filing
stays tracked until the money comes back.
Korva applies the policy terms to every claim line: deductibles, lasers, exclusions, you name it. You know what is reimbursable before you file, not when a denial comes back.
Agents assemble the full package:every form and supporting document,in the format each carrier requires. If arequired document is not available, Korva asks you to upload it.
Each group, contract, and filing in one place. Know every dollar pending and reimbursed without digging through spreadsheets and inboxes.
Agents track each submission after it goes out, record carrier responses, and handle routine follow-ups. You hear from Korva when a decision lands or something needs your attention.
Korva makes it easy
Korva understands every stop loss contract and knows how to apply the terms to your clients’ claims. Traditional stop loss, monthly accommodation, level funding, conditional lasers: all the tricky terms handled seamlessly.
Korva connects to your claims platform and pulls claims, eligibility, and everything else it needs automatically. Whatever format the data arrives in, Korva reads it.
Stop loss reports generate directly from claims data. Download them on demand, or send them to stakeholders on a schedule.
Nothing is sent to carriers without your sign-off. Every package is assembled and formatted by the time you see it, so you can approve, adjust, or hold it before it is sent.