Clawback Prevention Engine — Now in Beta

Stop SGK Clawbacks Before They Happen

Turkish pharmacies lose ₺8,000–15,000 monthly to "Kesinti" — clawbacks triggered when prescriptions violate the 41,000+ complex rules of the National Healthcare Implementation Decree (SUT).

Vora's autonomous AI agents audit every prescription before submission, ensuring 100% billing compliance and eliminating revenue leakage.

Google Cloud for Startups Partner — Built with Vertex AI
KVKK & GDPR Compliant
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Clawback Risk Monitor

Real-time SUT Compliance Status

Protected
94% Compliance Score

Live Audit Feed

Last 5 minutes

Atorvastatin 20mg

ICD-10: E78.0 · HbA1c: 7.2%

SUT Compliant

Metformin 1000mg

Rule §4.2.12B violated · tgap = 145 days

Clawback Risk

Insulin Glargine

Confidence: 0.68 · Awaiting HITL

Human Review
₺2.4M+

Clawbacks Prevented

41,000+

SUT Rules Encoded

<15 sec

Per-Prescription Audit

99.8%

Compliance Accuracy

The Clawback Crisis

Why Turkish Pharmacies Are Bleeding Revenue

The National Healthcare Implementation Decree (SUT) contains 41,000+ complex rules that determine whether a prescription is reimbursable. A single violation triggers a "Kesinti" — a clawback that reverses payment months after dispensing.

Unreadable Prescriptions

70% of prescriptions in Turkey are still handwritten. OCR errors lead to incorrect drug codes and automatic clawbacks.

Average loss: ₺3,200/month

Temporal Gap Violations

SUT mandates minimum intervals between refills (e.g., tgap ≥ 180 days for certain drugs). Missing this by a single day triggers clawback.

Average loss: ₺4,800/month

Missing Lab Validation

Many drugs require proof of clinical necessity (e.g., HbA1c ≥ 6.5% for diabetes medications). Missing or outdated lab results = instant clawback.

Average loss: ₺5,500/month

Combined Impact on Turkish Pharmacy Sector

₺850M+ Annual Clawbacks

Money that could stay in pharmacies — if compliance was automated.

The Agentic Solution

Autonomous AI Agents Working in Concert

Vora deploys a multi-agent system orchestrated by Google Antigravity — where specialized AI agents collaborate to audit every prescription with clinical precision.

01

Visual Perception Agent

Powered by Gemini 3 Pro via Vertex AI

Extracts structured data from handwritten prescriptions and scanned lab reports with clinical-grade precision. Handles 50+ Turkish hospital formats.

Multi-Modal OCR JSON Output
02

Regulatory Reasoning Agent

Powered by Claude 4.5 Opus

Performs deep logical mapping of extracted prescription data against the full 41,000+ rule SUT corpus stored in Cloud SQL. Identifies violations before submission.

Logic Mapping 41K+ Rules
03

Validation & HITL Agent

Human-in-the-Loop Verification

High-risk cases (confidence < 0.7) are flagged for pharmacist review. Ensures 100% billing safety while maintaining <15 second processing time.

Risk Scoring 100% Safety

Orchestrated by Google Antigravity

Autonomous multi-agent coordination for end-to-end compliance automation

Prescription Input
Perception
Reasoning
Validation
Compliant Rx
Enterprise Infrastructure

The Agentic Architecture on Google Cloud

Built entirely on Google Cloud Platform — designed for healthcare-grade reliability, security, and scale.

Vertex AI

Multimodal processing with Gemini 3 Pro for prescription extraction and document understanding.

BigQuery

Predictive clawback analytics — identify risk patterns across millions of historical prescriptions.

Cloud SQL

Real-time SUT rule database with 41,000+ regulations, synchronized daily with SGK updates.

Antigravity

Multi-agent orchestration framework coordinating Perception, Reasoning, and Validation agents.

Cloud Run

Serverless container deployment with auto-scaling

Secret Manager

Secure credential and API key management

Cloud Monitoring

Real-time observability and alerting

Healthcare-Grade Security

Enterprise Security & Compliance

Built with privacy-by-design principles to meet the strictest healthcare data protection standards.

PII Anonymization

Patient identifiers stripped at ingestion before any AI processing

TLS 1.3 Encryption

End-to-end encryption for all data in transit and at rest

KVKK & GDPR

Full compliance with Turkish and EU data protection regulations

HIPAA-Ready

Architecture designed to meet US healthcare standards when required

Data Protection Measures

  • Row-Level Security (RLS) for multi-tenant isolation
  • Audit logs with immutable retention for 7 years
  • Automated data purge after processing completion
  • Zero-copy architecture — data never leaves GCP region

Compliance Certifications

  • SOC 2 Type II (via Google Cloud)
  • ISO 27001 certified infrastructure
  • KVKK Article 12 technical measures implemented
  • Annual third-party penetration testing

Stop Losing Revenue to Clawbacks

Join the beta program and let Vora's autonomous agents protect your pharmacy from SGK clawbacks. Setup takes less than 5 minutes.

14-day free trial
No integration required
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