How It Works
From policy document
to live OPD operation
Zive collapses what used to take weeks of manual configuration and ongoing claims operations into a fully automated pipeline driven by AI at every step.
1
AI Reads the Policy
Upload a PDF or structured policy spec. Zive's AI parses benefit tables, copay rules, waiting periods, exclusions, and network parameters into a live configuration.
2
Plan Goes Live Instantly
Configured plan activates across the provider network. Members can start using benefits immediately. No manual entry, no UAT delays.
3
Claims Auto-Adjudicated
OPD claims arrive digitally. AI checks eligibility, benefit coverage, fraud signals, and copay calculation simultaneously decision in under 5 seconds.
4
Payments Settled Automatically
Approved claims batch into payment runs. Settlement instructions sent to the bank. Providers receive payment and advice without manual processing.
