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SOC 2 Type II CertifiedAIClosed-System AI
For outcome-based and catastrophic case management: read the chart like a medical director on every complex claim, with every conclusion cited to the source and the literature. You bring the clinical staff; SecondLook gives them the depth, at scale.
HIPAA CompliantSOC 2 Type II CertifiedYour nurses can go deep on a few charts or shallow on many, not both. The catastrophic and complex claims that drive most of your cost, and justify your contract, are the ones that most need physician-grade review, and the ones manual capacity reaches last.
Your clinical team already knows what to do. The engine gives them the read to do it on every complex claim, not just the ones they can reach.
Every complex chart read with physician-grade reasoning, not a nurse’s available minutes. No trade-off between depth and volume.
Your caseload ranked by clinical risk and exposure, so nurses spend their hours on the claims that move the number.
Conclusions grounded in the record and the literature, structured to survive adjuster review, IME, peer review, and CMS scrutiny.
Your clinical team spends its hours on judgment and intervention, not chart abstraction.
Utilization review, nurse case management, IME/QME, peer review, LCP/MSA, and clinical bill review. Six judgments, one engine, every conclusion cited to the record and the literature.
Medical necessity and appropriateness, assessed against standard of care.
Risk flags and prioritized, clinically-ranked work-lists.
Chart prep, inconsistency flags, and rebuttal support.
Standard-of-care assessment on the full record.
Future-care projection and CMS-defensible set-asides.
Coding and medical-necessity checks, by date and provider.
Charts ingested in any format, automatically.
The full record synthesized, not sampled.
Necessity and standard of care evaluated.
Risk, over-utilization, and gaps surfaced.
The right cases routed to the right nurse.
Physician-grade depth on every complex claim, validated at the largest managed care platform in workers’ comp and in an IRB study at UC San Diego. Available as SaaS or API.
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