Medical Claims Processing

Transform the claimant experience and extract more value by unlocking data trapped in messy and unstructured claim documents. Decrease handling times, identify claims that qualify for reimbursement correctly, and reduce the cost base.

Benefits

Automate the manual review holding back the claimant experience

Increase coders productivity

Automate the validation of medical records and extraction of demographic info
Increase coders’ reach

Enhanced ability to identify adjustable conditions in complex medical records
Improve customer experience

Serve customers faster, be right the first time, and eliminate claim backlogs

Highlights

Split Up & Classify

Split document packages and classify them for faster processing
Extract Information

Claim documents are highly variable and often low quality. Automatically extract required key fields without being restricted to templates.
Identify adjustable conditions

Scan through complex medical records for procedures that qualify for reimbursement.

case study

Customer Success

117%

increase in processing capacity
90%

automated field extraction