Wisedocs is proud to unveil our latest innovation: an AI-driven, question-and-answer insights system tailored for medical records in the realm of insurance claims.
Navigating the intricate landscape of insurance claims often requires delving deep into extensive medical records. On average, insurance adjusters spend about 4 hours daily reviewing these records, a task that consumes half their working day. This process, while crucial, can be time-consuming and challenging even for seasoned insurance adjusters. The complexity of medical records, with their varying formats and unstructured nature, further compounds this challenge. Recognizing this, we at Wisedocs are proud to unveil our latest innovation: an AI-driven, question-and-answer insights system tailored for medical records in the realm of insurance claims.
The essence of our new Question and Answer feature lies in its dual approach. Firstly, it incorporates a set list of standard questions that insurance adjusters frequently encounter during the claims process. This foundational list serves as a quick reference point, ensuring that the most common queries are addressed efficiently, without the need to type in the question.
The true brilliance emerges with the Question and Answer feature's ability to accommodate custom questions, granting adjusters the flexibility to extract specific information based on the nuances of each case. Any question the insurance adjuster needs to ask to gather information on the medical record, they are able to type it in and receive an answer. These questions can be added to a “predetermined list” in order to be used again on future medical records by your team.
Our new feature is anchored by advanced AI technology, reflecting the broader trend in the insurance industry to harness AI's capabilities for streamlined claims processing. Commercial insurance claims, known for their complexity and involvement of multiple parties, can greatly benefit from AI's ability to swiftly and accurately analyze vast data volumes.
This advanced tool is engineered to navigate extensive medical records, identifying pertinent details in response to user questions. A standout aspect of our system is its ability to mark the specific pages where the data originated, allowing adjusters to confidently cross-check and validate the information with the source documents themselves.
Every insurance claim comes with its own set of complexities and requirements. With this in mind, our new feature is not just a one-size-fits-all solution. It empowers adjusters with the ability to pose specific questions tailored to the individual intricacies of each case, ensuring a thorough and comprehensive assessment. Once the user has posed custom questions, Wisedocs’ Question and Answer feature allows for these queries to be added to the list of pre-determined questions for quick and efficient reviews in the future.
At Wisedocs, we believe in fostering trust through transparency. Our AI-driven Question and Answer feature not only provides accurate answers but also directs users to the precise locations within the medical records where the information was derived. The page number(s) assigned to each answer given is displayed for your team so that you can easily click and navigate to the pages where this answer was sourced from to verify the accuracy of the data. This level of transparency ensures that adjusters are equipped with verifiable and trustworthy data at all times.
Our Question and Answer feature works alongside our advanced suite of Medical Indexing and document classification models. With Wisedocs’ existing Medical Indexing platform, our Question and Answer feature has the ability to filter through and pose queries to certain document types such as clinician notes or imaging reports, to gain insights into a specific realm of the medical record. This integration with our suite of AI-powered systems brings your medical record review into the future, enhancing efficiency and precision while allowing you to unlock a deeper understanding of crucial medical data.
With the introduction of our AI-driven Question and Answer feature, we continue Wisedocs’ mission to enhance the efficiency and accuracy of the insurance claims process. By seamlessly integrating advanced technology with the specific requirements of insurance claims; we aspire to set a new standard in claims processing. We believe this innovation will offer significant value to insurance adjusters, and we're eager to witness its positive influence.
Book a demo to see how you can adopt AI the right way—with expert human oversight that accelerates document reviews, reduces administrative delays, and drives faster, defensible outcomes across claims, legal, and medical workflows.