Streamline Your

Healthcare Claim Approvals

Access Comprehensive Insurance Coverage Policies to Ensure Medical Necessity and Prevent Denials
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How does our AI-based clinical review solution work?

Input Data

Upload clinical notes and choose an insurance carrier along with a procedure or medication.

Process

Medical necessity criteria will be extracted, and documents will be reordered chronologically

AI

Our LLM model will detect and highlight medical necessity criteria found in the notes.

Result

Outputs summarized, highlighted, and organized for medical necessity verification.

Compare Drug Policies and Prior Authorizations with Ease

Insurance Carrier & Medical Necessity
Prior Authorization
Single/Multi Agent
Patient Cost
Aetna

Testing performed using using an FDA-approved test prior to the initiation of treatment

Yes
Single
$100
Humana

Individual diagnosed with recurrent or metastatic cancer

No
Multi
$120
Moda health

Member is diagnosed with a condition that is consistent with an indication listed in the product’s FDA-approved

Yes
Single
$95
Cigna

Genetic/specific diagnostic testing has been completed

No
Multi
$120

AI-Driven Solutions for Streamlined Healthcare Reviews

Our cutting-edge platform leverages advanced AI and LLM models to revolutionize healthcare processes. We simplify the assessment of inpatient and outpatient claims for medical necessity by automating documentation, organizing complex medical records chronologically, and interpreting hard-to-read faxes. Our AI-driven summaries and intelligent chatbot provide instant answers to specific questions, significantly reducing review times and enhancing accuracy and efficiency in the review process.

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Revolutionize Injury & Workers' Compensation Reviews

For both personal injury and workers’ compensation claims, our platform streamlines the review of extensive medical documentation. It automatically organizes clinical notes chronologically, processes and extracts information from hard-to-read faxes, and features a powerful chatbot that provides immediate answers to questions based on the uploaded documents. This allows attorneys and adjusters to focus on building stronger cases and managing claims efficiently.

Robust Security & Compliance

We prioritize the security of your data with our top-tier infrastructure. Our platform is fully HIPAA compliant, ensuring that all patient health information is protected. We utilize advanced encryption to safeguard data end-to-end and adhere to the latest security standards. Trust in our secure system to keep your sensitive information safe and confidential.

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