Powered by AI + ICD-10-AM / ACHI / ACS

AI-Powered Clinical Coding for Insurance Claims

Turn discharge summaries and clinical notes into accurate, audit-ready insurance-claim codes in minutes instead of days. Supports the Australian ICD-10-AM, ACHI, and ACS standards, with a full audit trail on every recommendation.

Example: Discharge Summary

Male, 62 years old, myocardial infarction, coronary stent placement.

Suggested codes
ICD-10-AM I21.4 ACHI 38306-00 ACS 0940
94% confidence — with rationale and a reference back to the source text

Why EnayaCode?

Four features that shorten the claim cycle and raise accuracy

Specialised AI

A Gemini-based engine with retrieval-augmented generation over the clinical coding standards.

Full auditability

Every code ships with a confidence, rationale, and pointer to the source span it was drawn from.

Arabic and English

A bilingual UI and reports with both RTL and LTR layouts.

Multi-tenant

Hospitals, clinics, and insurance payers — every tenant fully isolated from the next.

How EnayaCode works

Four steps from file to ready-to-submit claim

1
Upload the document

Upload the discharge summary or operative report as PDF or DOCX.

2
AI analysis

The engine extracts diagnoses and procedures and proposes the right codes with rationales.

3
Coder review

Accept, edit, or reject each code. Every action is captured in the audit trail.

4
Export the claim

Export the claim as PDF or JSON, ready for the insurance payer.

Who uses EnayaCode?

Hospitals and Clinics

Speed up the claim cycle and reduce rejections.

Clinical Coders

An AI assistant proposes — you approve.

Insurance Payers

Fast verification with a transparent audit trail.

Ready to speed up your claims?

Start with a handful of cases — no commitment.

Create your account