Features
Automated medical record data extraction from PDFs, faxes, and EHRs
Clinical criteria matching and summarization against plan policies
Prior authorization decision recommendations with evidence-based rationale
Integrated compliance checks against plan-specific policies
Real-time status tracking and notifications for authorization requests
Customizable workflow automation rules per plan
Audit trail and reporting for regulatory compliance
Missing information identification and automated alerts
Seamless integration with existing health plan systems via API
Natural language processing for unstructured clinical text
Medical Chronologies generation from unstructured records
Medical Insights with search, filter, and AI-generated insights
Medical Summaries with expert human oversight and QA
WiseChat: ChatGPT-like query interface for complex claims
Custom Reports generation from verified case data
Handwritten text detection and structured data extraction
Automated document sorting and filtering workflows
Co-Mingled Records separation for claimant compliance
Timeline visualization of claim history and events
List View of key terms linked to source documents
Automated Deduplication of redundant pages
Decision Intelligence (2.0) for turning documents into decisions
API integration for real-time case creation and data retrieval
Configurable AI workflows tailored to claim details
Human-verified accuracy on all document outputs
