Ministerial claims processing
Data compilation, packet assembly, submission, and routine follow-up — ClaimTail operates strictly within this boundary, never evaluating coverage or authorizing payment.
ClaimTail assembles a documentation-complete Claim Submission Pack — every required field extracted, every insurer-specific requirement checked, and a trained claims reviewer signs off — then submits it within 24 hours under your client's own signed claims authorization.
Every insured client's visit generates a claim that has to be manually pulled from the medical record and itemized invoice and submitted in whatever format that specific insurer requires. Only Trupanion offers a real vet-side submission tool, and even that requires the clinic to run it. Every other major insurer — Healthy Paws, Nationwide, MetLife, Pets Best, ASPCA, Embrace, Lemonade, Fetch, Spot, Prudent Pet — leaves the pet owner to gather the paperwork.
The work falls to whichever front-desk staffer has ten free minutes, at practices that are already short-staffed. This manual process is prone to errors, delays, and ultimately, client dissatisfaction.
ClaimTail exists to close that gap with a single, exhaustive standard applied identically to every file.
We do not summarize the requirements and hope. Every pack is scored against a versioned rule pack tied to the exact requirements of each major pet insurer. These are the provisions each pack is held to.
Data compilation, packet assembly, submission, and routine follow-up — ClaimTail operates strictly within this boundary, never evaluating coverage or authorizing payment.
ClaimTail never determines coverage, authorizes payment, or negotiates settlements. Coverage disputes are routed for practice-level escalation.
ClaimTail does not sell, solicit, or advise on insurance policies. All messaging is scoped to claims-processing assistance for existing policies.
Encryption in transit and at rest, minimal retention, per-practice data isolation, and no customer documents used for model training.
Every claim processed requires the pet owner's signed authorization naming ClaimTail as their processing agent for that specific claim.
If a Claim Submission Pack is not submitted within 24 hours of complete intake, that pack is free. No outcome guarantees on insurer decisions.
AI extracts and drafts. Deterministic rules — running as code, outside the model — decide what is complete. A human claims reviewer signs every release. That order is never reversed.
Upload the medical-record export and itemized invoice. AI extracts all relevant fields with verbatim source quotes.
The extracted data is checked against a maintained completeness checklist for that specific insurer's requirements.
The claim form is drafted from your validated data and the insurer's rule pack into field-locked templates — no legal opinions, no invented facts.
All required fields are present, source quotes are verified, and the client's claims authorization is on file. Any failure blocks release.
A trained claims reviewer reviews the exception queue and signs the release. Any clinical appeal language is approved by a DVM or credentialed technician.
The Claim Submission Pack is submitted within 24 hours. You receive a submitted claim confirmation and a tracked status link for both the practice and the client.
The deliverable is completeness itself — every insurer-specific field and requirement accounted for or explicitly exception-coded. Nothing is left implicit.
The gates that decide completeness are code, not a model's opinion. A drafting error cannot slip past an insurer's requirement.
We prepare documentation and submit claims as your client's processing agent. We never determine coverage, authorize payment, or negotiate settlements.
Simple, predictable, and aligned with a documentation standard — not a cut of any recovery.
Start with a free Delinquency Gap Scan. Send your ledger and vessel details and we'll return a completeness read against every subsection of §328.17.
Documentation-completeness service · not legal advice · the practice remains the client-facing party.