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How Automation Can Eliminate Medical Document Processing Issues

Many insurance companies, independent medical evaluators (IMEs) and Third Party Assessors use an outdated method of processing and indexing their medical record.

Published on:
May 30, 2022

Many insurance companies, independent medical evaluators (IMEs) and Third Party Assessors use an outdated method of processing and indexing their medical record.  

While the outdated method will often get the job done, there are modern tools, such as Machine Learning and Artificial Intelligence, which can drastically improve the speed, accuracy and quality of output of your process at a fraction of the cost. Read on to learn about the benefits of using these tools, and how they can improve your process.

99% Accurate Medical Briefs

Automated document processing tools that use AI, machine learning and/or Optical Character Recognition can outperform humans when it comes to accurately identifying relevant document elements and flagging potential issues. When an AI tool is used in combination with a human’s expertise, accuracy levels of 99% and higher can be consistently achieved. Additionally, these accuracy levels can be achieved without the cumbersome visual scanning and re-reading of documents.

While correctly identifying document elements such as titles, authors and dates is important, true AI platforms can also correctly flag or identify when a document is a duplicate, or has a high degree of similarity to another document. Again, when used in conjunction with a human, this allows medical briefs to have superfluous documents or pages removed. Alternatively, if there is a small, but important detail in a document that very closely resembles another, the AI will be able to catch it, whereas a sole employee on their own may have overlooked or dismissed it.  

Reduce Medical Document Processing Times from Days to Minutes

By using automated document processing tools, an organization’s processing time can be reduced from 3 days down to 4 hours—sometimes even minutes. This allows organizations to either scale up their operations and process more claims in the same amount of time, reduce their processing related costs, or reallocate time to other valuable activities.  

Furthermore, by eliminating the repetitive, unskilled aspects of sorting and organizing documents, automated document processing frees up employees’ time to perform activities that use their unique knowledge and skills. Instead of spending significant portions of their day dedicated to monotonous tasks, they can instead dedicate time to activities that make an impact and ultimately add real value to the organization.

Higher Quality End User Experience

Automation enables all documents to be processed and output in the same uniform format. This allows for greater ease-of-use, as the reader will have a consistent and predictable way of navigating and finding the information they need. Document navigation features can include:

• Hyperlinks

• Tabs

• Search tool

Since these are built into the software and are not manually created for each brief, the end-user can rely on them working properly, and avoid frustration and wasted time due to manually scanning or scrolling through documents.  

End-users such as Assessors, Doctors and Adjusters will prefer working with organizations that are able to provide them with information they require in the most convenient, effective and ultimately professional format. For example, doctors may prefer to work with organizations that save them time by providing them with higher quality medical briefs—allowing them to remain focused on analyzing the medical brief and making recommendations. For claimants, this can lead to faster decisions and resolutions to their claims.

Offshoring Medical Brief Processing Issues

Some organizations opt to outsource or offshore their manual process to companies who utilize low cost labor in other countries. While this may save time, it does come with negative side effects including:  

• Exposure to HIPAA violations

• Low quality English in document summaries

• Inconsistent, non-standardized document structure  

• Human errors

Automated document processing avoids or eliminates all of these potential issue by keeping data on-shore, and taking human inconsistencies and errors out of the equation as mentioned earlier.

To Automate or Not to Automate?

The status quo of manual medical record indexing performed strictly by humans has, and continues, to work. However, by adopting automation, organizations can improve upon manual processing’s shortcomings and deliver more value to their business. Ultimately, automated medical record indexing will be the way of the future for Lawyers, Insurance Carriers and Third-Party Administrators—providing organizations who adopt it sooner with an advantage in accuracy, speed, quality and cost savings over those who are slow, or fail, to adopt it.

If your organization is interested in modern indexing tools to increase the speed, accuracy and quality of output of your process, you can learn more about the Wisedocs platform, or contact our team directly.

Jenna Earnshaw
Head of Revenue at Wisedocs

Jenna Earnshaw is the Head of Revenue at Wisedocs. She has a strong expertise in go-to-market strategy and driving pipeline for tech companies. In her free time, you can find Jenna reading, podcasting, and supporting the startup community.

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