Since 2018 · Enterprise claims platform

Claims software that earns its place in serious operations.

One platform powers the entire claims lifecycle. Ten integrated applications manage every step, from first notice of loss through final settlement, including reserves, payments, diaries, compliance, and reporting. Everything works together in one system, with one login and one complete audit trail.

Plus, the capability most claims platforms outsource: a production-grade medical bill review engine.

IntelliReview prices CMS-1500 and UB-04 bills down to the penny using California OMFS, Medicare, PPO network rates, and clinical edits. It operates within the same data schema, login, and reserve workflow as the rest of the platform.

Not a bolt-on. Not a separate vendor. Not a nightly file transfer.

Built for risk pools, carriers, brokers, TPAs, JPAs, and the self-insured.

10
Integrated apps in the suite
25+
Years of experience
Full
Property & casualty book covered
100%
Audit-log coverage on every change
The suite

Everything you need, all in one platform. Ten integrated apps.

Built for production from day one, every app is actively used by claims professionals and connects seamlessly across the platform. Launch with the capabilities you need now and add more apps as your organization grows. JetFile and IntelliLegal remain in active beta and continue to evolve with customer feedback.

01 · Core

MSOFT platform

Full-lifecycle claims platform for the entire property & casualty book. Configurable workflows, role-based access, audit trails.

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02 · Core

IntelliReview

Medical bill review with CA OMFS, PPO networks, and clinical edits. Prices CMS-1500 and UB-04 to the penny, with a traceable audit trail for every reduction.

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03 · AI

Claimsmith AI

Natural-language examiner assistant over live claims data. Drafts diary entries with a human-approval gate. Auditable.

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04 · Portal

MSOFTMobile

Mobile-first portal serving both claimants and staff. Multi-language, SSO, view-only Bill Review surface.

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05 · AI

IntelliMail

Document intake + OCR + auto-match to claims. Azure Document Intelligence with on-prem GPU OCR option.

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06 · Workflow

MsoftScheduler

Background job orchestration and workflow automation. Hangfire-based, with OCR-integrated document filing.

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07 · Reporting

MSOFTAdhoc

Ad-hoc BI reporting with drag-and-drop query building and Excel export. No Kendo, no Telerik lock-in.

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08 · Integration

Outlook Web API

File documents and search claims from inside Outlook. Zero-friction email → claim capture for field staff.

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09 · Compliance

JetFile Beta

CA DWC JET electronic-filing packet generation with 32 DWC business rules enforced end-to-end.

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10 · Legal

MSOFT IntelliLegal Beta

Legal e-billing for LEDES 98-BI invoices with UTBMS code enforcement and firm-specific billing guideline review.

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The AI edge

AI where it earns its place.

Our approach to AI is grounded in accountability and operational rigor. Every capability we deploy is supported by an auditable record, appropriate human oversight, and benchmarking against existing solutions. We prioritize production reliability over demonstration-quality prototypes.

Claimsmith

Ask your claims data.

An LLM-backed examiner assistant that reads live claim history, reserves, payments, and diary entries - and drafts new diary entries with an explicit reviewer approval step before anything mutates.

Llama 3.3 70B · Semantic Kernel · Qdrant · per-tenant DB isolation
Predictive models · Beta

Score claims before they surprise you.

Severity triage, fraud signals, and return-to-work forecasting run against live claim data. Every score exposes its top drivers - jurisdiction, body part, litigation status - so a supervisor acts on the number instead of just seeing it.

Severity triage · Fraud detection · Return-to-work forecast · explainable drivers
IntelliReview OCR

Bill capture, no keying.

Inbound CMS-1500 and UB-04 bills flow through Azure Document Intelligence and (optionally) an on-prem GPU OCR server. Structured data comes out ready to price against OMFS, PPO, and clinical edits.

Azure Doc Intelligence · on-prem GPU OCR · CA OMFS + PPO pricing
IntelliMail

Mailroom, matched.

Inbound scanned mail is OCR'd, classified, and matched to the right claim by ClaimMail AI - with a confidence score and a review queue for anything the model isn't sure about.

Azure Doc Intelligence · classification model · confidence-based routing
Where MSOFT fits

Enterprise depth. A fraction of the cost. Live in weeks, not quarters.

MSOFT competes head-to-head with the platforms you're already evaluating - same compliance surface, same audit rigor, same P&C breadth - at a fraction of the license and services cost, with a first go-live measured in weeks instead of quarters.

Vs. legacy enterprise platforms

Same enterprise depth on core claims lifecycle, reserves, payments, compliance, and reporting - with a lighter configuration burden and a shorter path to first go-live.

Vs. AI-only claims tools

A full claims platform sits underneath the AI. Claimsmith isn't a wrapper - it reads directly from the same schema your examiners work in, so answers reconcile with your reports.

Vs. legacy carrier systems

Modern web stack running on Azure or your private cloud. No thick clients, no mainframe integration tax. Deploys on your infrastructure or ours.

On price and time-to-value

Configuration lives in the app, not in a proprietary DSL, so most of what your operation needs is editable on day one. Ten integrated apps for the price of a mid-tier claims license - no per-module upsell, no PSA-heavy rollout.

Ready to see MSOFT in your environment?

Thirty-minute walkthrough of the apps that match your use case - including IntelliReview and Claimsmith. No slideware.