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SOC 2 Type II CertifiedAIClosed-System AI
Physician-grade clinical insight on every complex claim: treatment appropriateness, recovery barriers, future cost, and exposure. For carriers, TPAs, managed care organizations, and self-insured employers, turning the medical record into decisions on reserves, intervention, and spend before costs escalate.
HIPAA CompliantSOC 2 Type II CertifiedOne engine answers all six, grounded in the record and the published literature. Whatever your team's workflow, it's covered here, no stitching together six point tools.
Proactive clinical management, not reactive claims processing. Identify over-utilization, delayed care, and treatment pattern anomalies before they drive cost.
Claims that currently get sent for outside medical review can be resolved internally once the clinical narrative is clear and complete, cutting a major line of external spend.
Growing caseloads don't require proportional staff increases when clinical synthesis is automated. Case managers spend time on patients, not charts.
The same clinical engine, framed for the decisions your team owns.
Translate the medical record into a clear clinical story your adjusters can act on in minutes: for accurate reserves and less adverse development.
Learn More →You already have the clinical staff. Give them an engine that reads every complex chart with physician-grade depth. Medical care drives roughly 60% of total claim cost, and it's decided on the record, defensible under outcome-based contracts, IME, peer review, and CMS scrutiny.
Learn More →A done-for-you service. A certified MSA consultant delivers an independent second look at the MSAs and high-exposure claims driving your biggest losses. You don't operate the software, you get the finished work product.
Learn More →Our clinical and product teams tune the platform to your case mix, review standards, and outputs before a single live case runs through it.
Map your workflow, case types, reviewers, and outputs.
Configure to your standard and benchmark against your team's review.
Your reviewers confirm quality side-by-side.
Wire into claims systems and case management; configure routing.
Go live with reporting cadence and escalation workflows finalized.
Reduced medical cost per claim. Earlier intervention on at-risk cases. Less external medical review spend. Available as SaaS or API.
Contact Our Team →