Features
AI-powered claims adjudication with automatic error detection
Real-time admin dashboard tracking claims, members, and dollars
Flexible plan design tools for custom health plans
Automated billing error and care gap detection
Multi-channel member support (concierge-level)
Real-time financial and operational analytics
Integration with existing vendor stacks
Data ownership and no resale of client data
SOC 2 Type II and HIPAA compliant security
Fast plan launch capabilities for new health plans
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
