Skip to content

Claims adjudication for insurance carriers.

A carrier sends what it knows about a claim. Adjust360 returns a determination: which theory applies, which facts carried it, what could defeat it, what is still missing. No language model on the decision path. This site documents the process, the product, and the engineering reference.

Rules over facts. No model on the decision path. Four words for what a carrier said, never inferred. 51 jurisdictions in a curated registry.

Documentation

Fact status vocabulary

Every fact a carrier sends arrives with a status. The engine acts on the difference between them and never swaps two of them.

stated

The carrier said it, with a value. A rule may act on it.

not_stated

The carrier looked and found nothing. A verified absence; a defense that needs the fact does not fire.

not_returned

The carrier said nothing about it. Nobody looked. Whatever needs it stays open and the brief asks for it.

not_extractable

A document was read and the fact could not be read from it. Only on the document path.

Subrogation module

Property and Auto, six theories each. Situations that change the answer, a quick reference, and a self-test. Coverage, liability, reserve, and authority are documented in their respective modules.