ClaimsOS Glossary
A comprehensive technical reference for systems, schemas, and AI logic driving the platform.
Core Entities
Vendors
Profiles of enterprise partners and suppliers. Each vendor has a risk profile based on historical data and compliance document registration.
Trade Claims
Requests for reimbursement or credit related to trade activities. These are analyzed for discrepancies and risk before approval.
Inventory
Real-time tracking of product stock levels, SKUs, and warehouse locations with AI-powered demand forecasting.
Purchase Orders
B2B orders placed with vendors. The system flags orders that deviate from historical trends or contain high-risk items.
Analytics & KPI Cards
Risk Score
A numerical value (0-100) indicating the risk level of a vendor or claim. Higher scores indicate potential issues or fraud.
Compliance Status
Indicates whether a vendor has provided all necessary regulatory documents for their jurisdiction. India requires GST & PAN; USA requires EIN & State Registration. Both require bank details and insurance verification.
Predicted Demand
An AI-forecasted value representing the expected future volume of sales or movements for an inventory item.
AI Explanation
Natural language justifications generated by the AI to explain why a certain risk level or recommendation was assigned.
Alerts & Statuses
Exceptions
Critical discrepancies that require manual intervention. These are automatically flagged by the orchestration engine.
Processing Status
The lifecycle stage of a claim or PO, ranging from 'Pending' to 'Approved', 'Flagged' for review, or 'Rejected'.
Enterprise-Grade Orchestration
ClaimsOS integrates deterministic business logic with probabilistic AI analysis, creating a robust hybrid engine capable of handling high-volume B2B transactions with cryptographic security and absolute transparency.