Claim governance built for insurers who cannot afford to get it wrong
不正防止・コンプライアンス・監査証跡をワンプラットフォームで
JapanCareID is a white-label claim processing engine — embedded invisibly inside your clinic network, operating at any scale, with zero compromise on data integrity.
Four engines. One platform.
4つのエンジン — 1つのプラットフォーム
Intelligent OCR
インテリジェントOCR
Structured extraction from clinic documentation with insurer-specific field mapping and rotation handling.
Fraud reduction
不正検知
Cross-reference validation, masked field detection, and anomaly flagging at point of claim submission.
Audit trail
完全な監査証跡
Immutable, timestamped records across every claim event — from intake through to insurer delivery confirmation.
Insurer delivery
保険会社への送信
Secure, confirmed fax delivery with per-insurer routing, retry logic, and delivery status logging.
Compliance-grade from day one
設計段階からのコンプライアンス対応
AWS-hosted, region-controlled
All patient and claim data remains within defined AWS regions. No cross-border data movement without explicit configuration.
Role-based access control
Cognito-backed authentication with clinic-level isolation. Staff access provisioned via audited invite chain — no shared credentials.
Immutable claim records
Every state change, override, and submission is logged with actor identity, timestamp, and reason code. Nothing is deleted — only superseded.
Confirmed insurer delivery
Fax and digital delivery tracked to confirmation. CDR records stored against each claim for medico-legal reference.
Multi-clinic architecture
Designed for insurer-led deployment across clinic networks. Each clinic operates in an isolated environment within a single insurer tenant.
White-label embedded module
JapanCareID sits invisibly inside your existing clinic workflow. No patient-facing branding. No workflow disruption.
From clinic intake to insurer confirmation
クリニックの受付から保険会社の確認まで
Patient presents at clinic
患者がクリニックを受診
Clinic staff log the encounter. JapanCareID captures structured data — no manual form re-entry, no paper handling.
Document extraction and validation
OCRによる自動抽出・検証
Supporting documents are processed. Fields are extracted, cross-referenced, and anomaly-flagged before any submission.
Physician review and sign-off
医師による確認・承認
Structured physician form completed in-platform. Signature and approval are logged against the claim record.
Confirmed delivery to insurer
保険会社への確認付き送信
Claim package routed to the correct insurer via confirmed delivery channel. Trace ID, timestamp, and confirmation logged immutably.
Built to operate at insurer scale
保険会社規模での運用を前提とした設計
Enquiries by introduction only
紹介のみ受付 — For insurance partners and clinic networks.