About this project
Care Mediator is a neutral AI layer that sits between hospitals, insurers, and patients during a medical insurance claim — the exact moment financial disputes happen. Instead of the patient being stuck guessing whether a hospital overbilled or an insurer wrongly denied a claim, our system runs automated agents that cross-check every submission against government CGHS rate benchmarks and the insurer's own claim record, flagging inconsistencies before either party can act on them. When a coverage gap exists, our Lender agent doesn't just list financing options — it computes true effective annual rate (not headline APR) to automatically flag predatory loans dressed up as "low interest." Built as five specialized MCP agents (Hospital, Insurer, Lender, Objectivity, Orchestrator) sharing one case record, so hospital, insurer, and patient always see identical, tamper-evident data — no version conflicts, no selective disclosure. Who it's for: patients navigating opaque medical billing, insurers wanting pre-vetted claims, and hospitals needing audit-proof submissions. What makes it special: it's not a chatbot bolted onto insurance — it's a transparent reconciliation engine where every number is independently verifiable against a neutral benchmark before a human ever has to trust either side's word.
BFSI & FinTech track
Build AI solutions for banking, payments, insurance, fraud detection, lending, and financial inclusion.