Insurance agents, hospital billing teams, and patients have no reliable way to know what a given diagnosis actually entitles them to. Coverage decisions are opaque, rules fragment across schemes, and the same condition can be coded five different ways — each triggering a different payout.
AxisMapper is being built to decode that opacity. This is Phase 1: a WHO ICD-10 base model that understands international classification standards and applies them to coverage logic.
Future phases will fine-tune separate expert models for Ayushman Bharat, Star Health, ESIC, CGHS, and state-level schemes — each with its own tariff rules — then route queries through a Mixture-of-Experts router that picks the right specialist for each patient's insurer.
| Code | Type | Description | Chapter |
|---|
- Universal code prediction
- WHO-level coverage logic
- Admission rule extraction
- Multi-LLM analysis layer
- Web tariff search
- Ayushman Bharat / PM-JAY
- Star Health rules
- ESIC / CGHS tariffs
- State scheme variations
- Insurer identification layer
- Specialist model routing
- Confidence-weighted outputs
- Ensemble code resolution
- Agent 1: Diagnosis → Code
- Agent 2: Code → Coverage
- Agent 3: Rules → Claim amount
- Agent 4: Web validation