Zero in on the largest lever for healthy employees and reduced claims cost – better management of clinical issues.
Medical costs and wage replacement costs are tightly coupled: poor clinical management and slow return to work increase medical outlay and the wage replacement expense. Get AI-enabled clinical management that moves the needle.
Key Features
Intake & Attribution
Monitor for new uploads and trigger reprocessing cycles automatically
Ingest all claim and medical documents, normalize formats, and link each file to the correct claimant and claim
Clinical Structuring
Convert unstructured notes into a normalized clinical datasets: diagnoses, procedures, medications, visits, body parts, work status, treating providers
Compute foundational counts and parameters used downstream: visit counts and cadence, duration and intensity of modalities, episode and phase segmentation
Record Hygiene & Assembly
Page-level deduplication
Indexed, chronological packets with preserved page-level provenance
Workflow Delivery & Integration
Deliver chronologies, summaries, structured fields, and risk flags into existing adjuster and nurse workbenches via APIs
Expose role-specific views and alerts, enable routing and audit trails, and support write-backs to core claim systems
Prioritized nurse case manager cases
Secure
SOC2 Type II and HIPAA compliant
Closed system AI
Exceptional clinical accuracy
Case Intelligence & Risk Assessment
Handcraft nurse and case analytics alert flags
Detect over-utilization, modality or body creep, missing or delayed care, inconsistent narratives, and elevated return-to-work risk
Generate prioritized work-lists and concise “what changed since last snapshot”
Value To You
Increase your operational efficiency
Stay ahead of cost trends at a patient and system level
Increase client value through decreased medical and salary replacement costs
