Features
True 12-month cost estimation with premiums, deductibles, copays, coinsurance, drug tiers, networks, OOP max
Automated prior authorization form filling from EHR data
Automated denial appeal generation with source citations and physician attestation
EHR chart reading and integration for clinical data extraction
Outcome tracking with structured data extraction per appeal
Graph-based data model linking plan choices, prior auths, and appeal outcomes
Agent of Record (AOR) capabilities for plan enrollment
Plan choice recommendation engine based on real drugs and doctors
Embedded coverage advisor functionality
Rights-cleared data row creation from every decision outcome
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
