Wise Product Picks with Elissa: WiseChat

Wisedocs would like to welcome you back to Wise Product Picks with Elissa Gallegos! In this monthly series, we highlight Wisedocs’ innovative features and offerings through Elissa's clinical perspective. She is one of our seasoned Nurse Consultants and Medical Solutions Engineers who brings a wealth of experience as a Registered Nurse with a strong background in Critical Care, including the Neuroscience, Medical, and Cardiovascular ICU. Elissa has worked in pain management and Prior Authorization & Utilization Management with the Centers for Medicare and Medicaid Services. Since joining Wisedocs, Elissa has played a key role in enhancing our medical record summaries and products with her deep clinical knowledge. We're happy to have her share her expertise about Wisedocs' features with you!

This month, we’re looking at how Wisedocs’ WiseChat Q&A solution is changing the way medical, legal, and insurance professionals interact with claim documents

What is WiseChat?

WiseChat is an AI-powered feature that enables teams to instantly answers case-specific questions, pulling responses directly from the medical records with hyperlinks to the source documents. No more sifting through pages of notes. Just ask and get what you need in seconds.

As a nurse, I’ve spent hours searching for diagnoses, treatment history, or specialist notes. Nurses, on average, spend about a fifth of their workday navigating Electronic Health Records (EHRs), with some spending up to half their shift reviewing documentation. Every case requires answering the same essential questions: What was the injury? Did the claimant seek treatment? How has it progressed? Instead of manually searching through records, WiseChat delivers immediate, sourced responses, cutting down review time and reducing errors.

The Current Workflow: Manual Review and Its Challenges

Reviewing medical records takes time and effort. Professionals must search through hundreds or even thousands of pages to find the necessary facts. An estimated 80% of healthcare data is unstructured, including clinical notes, imaging, and other non-standardized formats, making it even harder to extract relevant details. Without an organized way to process this information, the review process slows down the claim lifecycle, legal cases, and health examinations.

The biggest challenges?

• Time-consuming searches for relevant data buried in lengthy, unstructured documents.
• High risk of missing information, leading to delays and incomplete case reviews.
• Inconsistent reporting makes it harder to quickly understand a case.

These inefficiencies add up, affecting decision-making, collaboration, and case turnaround times.

How WiseChat Ensures Accuracy and Transparency

Unlike AI tools that generate assumptions, WiseChat pulls directly from real case documents, ensuring accuracy and transparency. Using Intelligent OCR technology, it extracts data from the records and provides answers based on what is documented, never generating assumptions or adding bias. To safeguard against AI hallucinations or providing false information, our query AI has been trained on over 60 million validated domain specific claim documents. This training ensures WiseChat provides expert-backed AI-based answers for claims professionals.

If the information isn’t there, it won’t create an answer. Each response includes a direct link to the original record for easy verification, supporting legal compliance and insurance audits. With hospitals losing an average of $17.4 million annually due to misidentification-related claim denials, WiseChat helps reduce these costly errors by delivering verified, source-backed information.

WiseChat Speeds Up the Claims Process

With WiseChat, cases move forward faster and more efficiently. Instead of spending hours searching for key details, adjusters can retrieve critical insights in real time, ensuring smooth case handoffs. With the cost of handling a single claim averaging over $1,000, reducing the time spent on manual reviews translates to significant savings. Law firms can pull medical history for trial packages without manual searches, and healthcare specialists can quickly review case reports before assessments.

This reduces bottlenecks across teams, keeping cases on track. With instant access to verified case information, WiseChat ensures that each stakeholder, whether an adjuster, attorney, or medical expert, can complete their portion of the claims process without delays. Adjusters no longer need to pause their workflow for manual evaluation and research, and legal and medical professionals can act sooner with the right findings at their fingertips.

Final Thoughts

WiseChat is a quicker, more reliable way to work. It saves time, enhances precision, and keeps teams aligned by providing instant, verifiable answers from case records. Reviewing a single claim or managing complex legal cases, you can rely on WiseChat to provide the right information exactly when you need it.

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