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Carriers need infrastructure that can manage today’s largest, most complex claim files without compromising speed or defensibility.

• Enterprise scale: Optimized for high-volume workloads and stable performance across massive datasets
• State-of-the-art Processing Power: Proven to load a single 50,000+ page claim file in a matter of hours
• Configurable Views: Layouts that adapt to team workflows in an intuitive UI
• Custom Queries: Surface the right data in seconds with advanced filtering

With a modernized architecture, Wisedocs enables carriers to process complex case files up to 8x faster while ensuring results remain defensible.

Carriers face diverse case types. Case Reports provide a fast, flexible way to surface the exact details needed for each claim type, structured and defensible for enterprise use.

• Flexible Templates: Adapt quickly across claim types without manual rebuilding
• Configurable Sections: Include or exclude details by document type, facility, or date
• In-Text Citations: Link directly back to source claim documents for audit readiness
• Expert-in-the-Loop Verification: Built using data that is validated by the Wisedocs expert medical and legal teams

Case-Level Summaries cut hours from review cycles, delivering consistent, defensible outputs that align to carrier workflows and enable faster, more confident claim decisions.

Historically, claim data sat buried in unstructured files. Cross-Case Insights changes that — giving carriers first-time transparency into the verified data extracted from their own cases, so they can finally see inconsistencies, trends, and anomalies across all cases.

• Fast Search & Filter: View and filter across all cases instantly
• Self-Serve Queries: Cross-reference case data with filters, keywords, or free text
• Advanced Aggregation: Spot trends in treatments, diagnoses, or provider behavior
• Data Export: Export results (CSV) for internal reporting and data modelling

Cross-Case Insights brings case data to life, reducing time spent sifting through unstructured records and enabling teams to focus on higher-value review and assessment.

Unstructured claim files have long slowed reviews and introduced inconsistency. The Wisedocs Intelligence Engine applies AI and Machine Learning models, paired with medical expert oversight, to transform raw case documents into structured, defensible outputs at enterprise scale.

• 15 AI/ML Modules: trained on 100M+ claims-specific documents for accuracy
• Scale & Speed: 25M+ data points validated monthly, with document processing power up to 8x faster
• Traceability: audit-ready outputs, backed by human oversight
• Configurable Models: document level model flexibility to adapt to line of business, jurisdiction or policy
• Enterprise Security: HIPAA and SOC 2 Type II compliance built in