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Beyond the core analysis, here's what's built in.
Medical Evidence, Cost/Insurance Rights, and Risk-of-Waiting agents each independently analyze your case, grounded in real retrieved sources — not general knowledge.
A dedicated agent actively challenges the Medical agent's finding, the way a real second medical opinion would — not just a rubber stamp.
When agents disagree, you see it — with a plain-language explanation of why, instead of one flattened answer hiding the conflict.
High-risk or emergency cases get a hard block, directing you to real help immediately instead of routine AI output.
Get your results in English, Hindi, Tamil, Telugu, or Malayalam — the agents respond directly in your chosen language.
Turn your case findings into a ready-to-send appeal letter, citing the exact medical and insurance sources found — on request, one click.
Have your results read aloud in your chosen language — helpful if reading is difficult or you're on the move.
Save or print a clean copy of your case results and appeal letter to share with your doctor or insurer.
Download a calendar reminder for your follow-up, so an appeal window doesn't quietly pass you by.
Every case is automatically tagged — Insurance Denial, Treatment Necessity, Delay/Prior Authorization, Urgent/Emergency, or General Inquiry.
Every case is saved to your account, with stats and pattern insights showing what kinds of cases you've faced and how often your agents agree.
Rate each agent's answer with a quick thumbs up or down, helping track which findings are actually useful.
The problem it solves, and how it stays honest.
A lot of health decisions come with a hidden legal or financial question attached — an insurance denial, a delayed treatment, a doctor saying a procedure is needed while the insurer says it isn't. Today, resolving this means separately consulting a doctor and a lawyer or insurance expert — slow, expensive, and often abandoned. Insurers already have automatic claim-processing systems, but those work for the insurer's speed, not the patient's fairness. CareRights AI works on the patient's side of that gap — before filing, to strengthen a case, and after a denial, to fight back with real rights information.
Every agent retrieves real source documents before answering — real medical guidelines, real insurance regulations — through a technique called retrieval-augmented generation (RAG). If the available sources don't clearly cover your situation, the agent says so honestly instead of inventing an answer. You can see exactly which source chunk supported each finding.
Medical necessity, insurance entitlement, and urgency are three different kinds of questions. Keeping them as separate agents — instead of blending them into one answer — means you see exactly where they agree and where they clash, which is often the most useful information in a real dispute.
CareRights AI does not diagnose medical conditions and does not give a legal ruling. It organizes real evidence and shows you what to ask your doctor or insurer next. For anything urgent or high-risk, it explicitly stops and tells you to seek real help immediately.
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Three agents check medical necessity, insurance rights, and the risk of waiting — then show you where they agree or clash.
CareRights AI is not medical or legal advice. Agents retrieve answers from a curated document corpus via retrieval-augmented generation, and every finding is grounded in a cited source. For serious or urgent situations, always consult a real doctor or legal professional.