Purpose-built claims intelligence for Africa and the Caribbean. Reduce leakage, defeat fraud, and settle claims faster — with payer adapters for every major public and private insurer in your market.
From eligibility checks at the front desk to remittance reconciliation at month-end — one platform handles it all.
Review, approve, or deny submitted claims from a single queue with fraud score badges and full claim history.
Rule-based and ML-powered fraud engine flags duplicate billing, upcoding, ghost patients, and provider velocity anomalies.
Digital pre-auth workflows that cut turnaround from days to minutes with real-time payer adapter integrations.
Instant coverage checks against CNSS, NHIS, CNPS, IPM, and private insurer databases — cached for 24-hour SLA compliance.
Upload remittance files and automatically match payments to claims, surfacing variances and disputed amounts.
Track fraud rate, AR aging buckets, denial codes, first-pass rates, and provider utilization trends in real time.
Native adapters for public health schemes, mutuals, and private HMOs — no custom integration work required.
CNSS AMO, CNOPS, RAMED
NHIS, Hygeia HMO, AXA Mansard, Reliance HMO
CNPS, AXA Cameroun, Activa
IPM, IPRES, AXA Senegal, Allianz
Jamaica NHF, T&T NHIS, Sagicor, Guardian Group
Your insurer plans are listed inside the Cari patient app — patients browse, enroll, and pay without ever leaving their health record. Reach the 97% of Africans who are still uninsured.
Join insurers across Africa and the Caribbean using Cari to process claims faster, catch fraud earlier, and grow their member base.