The Autopilot Era of Insurance

We don't sell insurance software.

We process insurance.

The Oasis — AI agents that extract, classify, assess, detect fraud, and adjudicate claims in under 60 seconds. Every country. Every product.

oasis.papaya.asia / claims-pipeline

Claims Pipeline

LIVE
847 processed41s avg94.2% auto

Extract

Agentic OCR + NLP

Classify

Type + Route

Assess

Clinical + Policy

Screen

FWA Analysis

Decide

Adjudicate

CLM-2026-04891

Outpatient — Dental Filling

Approved38s

CLM-2026-04892

Inpatient — Cardiac Surgery

Flagged52s

CLM-2026-04893

Inpatient — Knee Replacement

Processing...12s

50+

AI Agents

5M+

Medical Records

99%+

OCR · 95%+ Hand

<60s

Per Claim

3

Markets Live

94%

Auto-rate

Claims Adjudication
Document Forensics
ICD Validation
Benefit Calculation
Fraud Detection
Provider Networks
Medical Necessity
Policy Interpretation
Billing Analysis
Risk Scoring
Drug Reference
Clinical Pathways
Claims Adjudication
Document Forensics
ICD Validation
Benefit Calculation
Fraud Detection
Provider Networks
Medical Necessity
Policy Interpretation
Billing Analysis
Risk Scoring
Drug Reference
Clinical Pathways
Claims Adjudication
Document Forensics
ICD Validation
Benefit Calculation
Fraud Detection
Provider Networks
Medical Necessity
Policy Interpretation
Billing Analysis
Risk Scoring
Drug Reference
Clinical Pathways
Claims Adjudication
Document Forensics
ICD Validation
Benefit Calculation
Fraud Detection
Provider Networks
Medical Necessity
Policy Interpretation
Billing Analysis
Risk Scoring
Drug Reference
Clinical Pathways
Claims Adjudication
Document Forensics
ICD Validation
Benefit Calculation
Fraud Detection
Provider Networks
Medical Necessity
Policy Interpretation
Billing Analysis
Risk Scoring
Drug Reference
Clinical Pathways
Claims Adjudication
Document Forensics
ICD Validation
Benefit Calculation
Fraud Detection
Provider Networks
Medical Necessity
Policy Interpretation
Billing Analysis
Risk Scoring
Drug Reference
Clinical Pathways
Claims Adjudication
Document Forensics
ICD Validation
Benefit Calculation
Fraud Detection
Provider Networks
Medical Necessity
Policy Interpretation
Billing Analysis
Risk Scoring
Drug Reference
Clinical Pathways
Claims Adjudication
Document Forensics
ICD Validation
Benefit Calculation
Fraud Detection
Provider Networks
Medical Necessity
Policy Interpretation
Billing Analysis
Risk Scoring
Drug Reference
Clinical Pathways

Services

Comprehensive insurance services, powered by intelligence.

From TPA claim processing to healthcare benefits to custom technology — everything insurers and corporates need, delivered faster.

TPA

Claim Processing

End-to-end third-party claims administration. From document submission to reimbursement — faster than any traditional TPA.

Claims processed in under 9 minutes

Automatic data extraction from documents
Real-time claim status tracking
Instant reimbursement capability
Built-in fraud screening on every claim

Healthcare

Health & Wellness Benefits

Comprehensive healthcare benefit programs — annual health checkups, diagnostic testing, medication coverage, and wellness packages for corporate clients.

Annual health checkup packages
Diagnostic testing and screening
Medication guarantee and coverage
Corporate wellness programs

Technology

Custom Platform Solutions

Research, design, and build insurance technology tailored to your business — from sales platforms to integrated claims systems to custom products.

Custom product development
System integration for sales platforms
Analytics and reporting dashboards
Customer experience optimization

Trusted by leading insurers and enterprises

FWD
Sunlife
Bảo Minh
GIC
MB Ageas
MIC
BHV
VNI
HDBank
Tiki
Mobifone
FWD
Sunlife
Bảo Minh
GIC
MB Ageas
MIC
BHV
VNI
HDBank
Tiki
Mobifone
FWD
Sunlife
Bảo Minh
GIC
MB Ageas
MIC
BHV
VNI
HDBank
Tiki
Mobifone
FWD
Sunlife
Bảo Minh
GIC
MB Ageas
MIC
BHV
VNI
HDBank
Tiki
Mobifone

The Thesis

For every dollar spent on insurance software, six are spent on insurance services.

The $50–80B claims adjusting market. The $140–200B brokerage market. These aren't software opportunities — they're labor replacement opportunities.

Copilot

Sells the tool

Tool budget

vs

Autopilot

Sells the work

Work budget — 6x larger

Framework: Sequoia Capital, “Services: The New Software”

Claims Intelligence

Six agents. One pipeline. Under sixty seconds.

Not a dashboard for adjusters — the adjuster itself. A 6-agent pipeline that takes a claim from raw documents to a fully adjudicated decision, with complete audit trail and policy citations.

6

Agent Pipeline

<60s

Processing

3

Markets Live

Learn more

Document Extraction

OCR + NLP for Thai, Vietnamese, Chinese, English documents

Classification

Auto-classify inpatient, outpatient, dental, maternity, accident

Medical Necessity

Clinical pathway validation against 60K+ medical records

Benefit Assessment

Policy-level calculation — sublimits, deductibles, co-pays

FWA Screening

Six-factor fraud analysis runs in parallel

Adjudication

Auto-approve, flag, or escalate with full audit trail

Fraud, Waste & Abuse

Evidence-based detection. Zero hallucination.

Every flag is backed by data from the claim itself. We'd rather miss a flag than fabricate one. Six-factor analysis, maximum 8 flags per claim — quality over quantity.

6

Detection Factors

0

Hallucinated Flags

8

Max per Claim

Learn more

Timing Analysis

Policy-to-claim gaps, frequency patterns, escalation

Clinical Validation

Diagnosis-treatment mismatches, contradictions

Billing Forensics

Duplicate billing, upcoding, unbundling, overpricing

Provider Intelligence

Concentration risk, location mismatch, collusion

Document Forensics

Image manipulation, inconsistent dates, discrepancies

Policy Exploitation

Coverage change timing, benefit maximization patterns

Underwriting Engine

Risk assessment at the speed of data.

Transform underwriting from weeks to minutes. Automated risk evaluation, dynamic pricing, and application processing with actuarial precision.

100%

Rule Coverage

Minutes

Not Weeks

Multi

Product Lines

Learn more

Application Processing

Automated intake, validation, and enrichment

Risk Assessment

Multi-factor scoring against underwriting guidelines

Dynamic Pricing

Real-time premium calculation based on risk profiles

Policy Issuance

Automated issuance, renewal, and endorsement processing

Open Integration

OpenAPI. SDKs. MCP. Your way in.

Full OpenAPI spec for every endpoint. Native SDKs for five platforms. MCP server for AI agent interoperability. Integrate Papaya into any workflow, any stack, any AI agent.

OpenAPI

Full Spec

MCP

AI Protocol

5

Native SDKs

Learn more
integration.ts
// OpenAPI client
const client = createClient('api.papaya.asia')

// Submit a claim
const result = await client.claims.submit({
  documents: [invoice, receipt],
  policyId: 'POL-2026-001'
})

// MCP — AI agent access
const mcp = createMCPServer({
  tools: ['submit_claim', 'get_benefits']
})

The Vision

From claims processing to full healthcare intelligence.

Each market we enter compounds our data advantage. Each product line we add deepens the moat.

Now

Claims Autopilot

End-to-end claims processing. 17 AI agents. Under a minute. Live in Thailand, Vietnam, and Hong Kong.

Next

Insurance Intelligence

Underwriting that prices risk in real-time. Provider networks that self-optimize. Compliance that adapts before regulations take effect.

Horizon

Healthcare Operating System

When intelligence becomes infrastructure, the boundary between insurance and healthcare dissolves.

Global Reach

Built for every market.
Deployed market by market.

Multi-tenant, multi-language, multi-currency. Market-specific document extraction, regulatory frameworks, and clinical pathways.

🇹🇭Live

Thailand

🇻🇳Live

Vietnam

🇭🇰Live

Hong Kong

🇮🇩2026

Indonesia

🇵🇭2026

Philippines

🇲🇾2027

Malaysia

🇸🇬2027

Singapore

Ready to replace your claims process with a claims intelligence?

See how the Oasis processes insurance for your market, your products, your scale.