Claim CLM-86D0705F

Detailed view of the selected insurance claim

CLM-86D0705F

Travel
ApprovePending Review
Policy Details
Policy Number M-REV4769179
Insurance Plan Ultra Plan
Claim Amount
$867.61
Important Dates
Created Oct 22, 2025
AI Recommendation
Approve
AI Confidence
100%
High Confidence
History

Claim Description

The user has submitted a travel cancellation claim due to a medical emergency, as supported by a doctor's note. The claim includes non-refundable costs for flights and hotel bookings. The reason for cancellation is a 'serious sickness', which is a listed reason under the policy. Therefore, the claim is eligible for a 100% reimbursement of non-refundable costs, minus the policy deductible.

Attached Files

(16)
16 file(s) attached

AI Analysis

AI Reasoning

All necessary documents have been provided by the user, including booking confirmations, cancellation proofs, refund details, and a valid medical certificate advising against travel. The claim falls squarely under the 'Trip Cancellation for listed reasons' coverage, and the calculated refund amount is based directly on the non-refundable costs minus the specified deductible in the policy.

Confidence Breakdown

Overall Confidence 100.0%
Risk Assessment Low Risk
Recommendation Approve

Human Review

Awaiting Human Review

This claim is waiting for human review and approval.

Additional Information

System Information

Claim ID
86d0705f-cf0e-4f75-9009-34df0fe5cc14
Processing Agent
ClaimLLM
Last Updated
October 22, 2025 at 5:36 PM

Timeline

Submitted: Oct 22, 5:36 PM
Last Updated: Oct 22, 5:36 PM