Member claims portal

Submit reimbursement claims
with confidence.

Add claim details, review line-level decisions, and track every claim from review to payment in one secure dashboard.

Claims stay visible.
Decisions stay clear.

ClaimPilot gives members a focused place to submit reimbursement claims, understand outcomes, and monitor status changes.

Submit claims: Enter service dates, diagnosis codes, and line-item expenses for reimbursement.
See adjudication results: Review covered amounts, copays, deductibles, member responsibility, and plan payment.
Track claim status: Follow each claim through review, approval, denial, dispute, payment, or closure.
Line-level explanations: Understand why each service was approved, partially approved, denied, or sent for review.
Member-first dashboard: See recent claims, totals, and outstanding responsibility from one protected workspace.
Demo policy rules: Explore a realistic reimbursement flow with deductible, copay, coinsurance, limits, and exclusions.

Add the service date, diagnosis codes, and reimbursable line items.

ClaimPilot applies policy rules and shows claim-level and line-level outcomes.

Follow status updates and see what the plan pays and what remains your responsibility.

Use the claims workbench to submit expenses and see the policy decision right away.