Health Claims Settlement Layer

Adjudicate in hours.
Not in weeks.

Stand up a health insurance network where standard claims auto-adjudicate against policy terms in hours instead of the 15 to 45 days a TPA takes. Escrow and Conditional Settlement, a Logic and Actions Editor, and KYC and Identity Verification collapse the opaque handoffs that let duplicate billing and fraud thrive.

The Foundation

The Execution Mechanics

Turn a 45-day paper adjudication into a real-time, tamper-evident settlement between hospital, insurer, and policyholder.

01.

Rule-Based Auto-Adjudication

Encode the policy schedule once in the Logic and Actions Editor. Standard claims that satisfy the coverage rules settle without a human touch, cutting the 15 to 45 day window to hours.

02.

Conditional Escrow Payout

The Escrow and Conditional Settlement module holds insurer funds and releases them to the hospital only when the discharge summary and coding checks pass, so payment and proof move together.

03.

Duplicate Bill Detection

Every claim line is anchored by a content hash. A second hospital submitting the same procedure for the same admission is rejected on-chain, closing the duplicate-billing loophole.

04.

Identity-Bound Claims

KYC and Identity Verification binds each claim to a verified policyholder and provider, removing the ghost-patient and phantom-provider fraud that opaque TPA routing hides.

05.

Live Status Ledger

The policyholder reads their own claim state from the ledger in real time, from submission to adjudication to payout, instead of calling a TPA with no visibility.

06.

TPA Overhead Removal

Six further Cerulea Studio modules replace the manual TPA middle layer, so the insurer pays for verified compute rather than a per-claim handling fee.

The Claims Lifecycle

Follow a single hospital admission from discharge to a settled payout, all on the same afternoon.

Operational log system
cerulea_claims_engine.log

14:02:11

[SYS] Initializing Claim Manifest for admission ADM_55120...

14:02:12

[CMD] submitClaim { policy: "PH_88421", provider: "HOSP_0x19", amount: 84200 }

14:02:12

[AUTH] Verifying policyholder KYC credential and coverage window...

14:02:13

[OK] Claim CLM_44219 anchored at block 5120441.

Smart Contract Anatomy

Cerulea decomposes health claims settlement into modular contracts. Each layer verifies identity, adjudicates coverage, guards against duplicates, and releases escrow without a TPA controlling the record.

Applicability Across the Spectrum

Smart contract claims settlement is a horizontal capability. Here is how different actors in the health insurance chain put the shared ledger to work.

Hospitals & Provider Networks

Submit itemized bills against verified policies and receive escrow payouts the same day, replacing months of TPA follow-up and reducing working-capital strain on the provider.

Key Asset Types

  1. 1Discharge Claims
  2. 2Provider Payouts
  3. 3Coding Attestations

Insurers & Health Plans

Auto-adjudicate standard claims against encoded policy rules, cut TPA handling fees, and block duplicate and phantom claims at the protocol level rather than in post-payment audit.

Key Asset Types

  1. 1Policy Schedules
  2. 2Adjudication Rules
  3. 3Fraud Flags

Policyholders & Members

Track a claim from discharge to payout in real time from a single ledger view, ending the opacity of calling a TPA for a status no one can confirm.

Key Asset Types

  1. 1Claim Timelines
  2. 2Coverage Views
  3. 3Settlement Receipts

Network & Execution Architecture

Whether you are bridging a legacy claims platform at a large insurer or capturing discharge data from a hospital HMIS, Cerulea routes both into one shared adjudication ledger.

Track A: Insurer Core-System Bridging

For insurers on legacy claims and policy admin systems. Existing claim events are translated into signed on-chain adjudication requests through the API gateway automatically.

Legacy Claims Platform

Insurer Core System

HTTPS / REST

Cerulea API Gateway

Claim Hashing & Signing

WASM COMPILATION

Cerulea Private Chain

Consortium Adjudication Ledger

Track B: Hospital HMIS Capture

For hospitals submitting from their information system. A gateway app signs each discharge claim from a provider wallet and routes it directly to the adjudication ledger.

Hospital HMIS / App

Provider Devices

WALLET SIGNATURE

Consortium Validators

Adjudication Consensus

STATE EXECUTION

Cerulea Ledger

Shared Claims Record

Accelerated Time-to-Market Simulator

Building a claims network with custom adjudication logic, duplicate-fraud guards, and conditional escrow from scratch requires specialised insurance engineers and long TPA integration cycles. Calculate your exact deployment speed using Cerulea.

Required Adjudication & Settlement Rules

48Rules
Simple (10)Enterprise (200)

Traditional Deployment

Solidity Coding & Audits

~ 13 Months

Cerulea Edge

Visual Compilation

WASM Logical Artifacts

~ 4 Weeks

>_

Technical Methodology

The legacy timeline reflects health-insurance core-system integration benchmarks. Wiring a claims platform to hospital systems, coding a custom adjudication and duplicate-detection engine, and shipping conditional escrow for an average network takes a baseline of 8 months. Building the same architecture on Cerulea takes a baseline of 2 weeks, because Cerulea Studio visually translates your policy and settlement rules into pre-audited WebAssembly binaries and provisions the shared adjudication ledger and escrow layer instantly.