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Average Ratings 0 Ratings
Description
The flagship claims processing solution from Acrometis provides exceptional workflow management by utilizing a configurable rules engine to automatically route documents. This system is built around various elements such as claim assessment scoring, matching body parts to claim compensability, adhering to jurisdictional directives, and scoring relatedness, all aimed at minimizing both the duration and costs associated with claims. Notably, CLAIMExpert can autonomously process 65 percent of incoming medical bills and non-medical documents without requiring any user intervention. Documents that need adjuster review are efficiently flagged and organized to facilitate straightforward decision-making, ensuring that the process remains streamlined. With no need for adjuster involvement for the initial processing, clients often experience an improvement ranging from 11 to 23 points in medical loss within the first year. Furthermore, CLAIMExpert is equipped with rules addressing over 190 different document types, enabling it to swiftly manage whitemail and any other documentation that may arrive at an adjuster’s desk. This comprehensive approach not only enhances efficiency but also significantly impacts the overall claims handling process.
Description
DigitalOwl is an innovative platform that leverages artificial intelligence to analyze and review medical data, converting intricate, unstructured medical records into organized, searchable, and actionable insights for professionals in the fields of insurance, legal, and claims, which significantly minimizes the time needed for manual reviews while enhancing the precision of decisions made. This comprehensive platform harnesses cutting-edge generative AI, natural language processing, and an extensive medical knowledge base to automate critical functions, including de-duplication, data extraction, timeline generation, summarization, and integrated workflows that facilitate risk assessments, underwriting, claims examination, and legal case management, all accessible from a unified interface. Among its standout features are the View function, which provides 360° summaries of medical histories by emphasizing essential information while filtering out irrelevant details, the Chat feature that enables users to interactively explore extensive data sets through conversational AI, the Connect APIs that ensure seamless integration and normalization of medical data within existing systems, and Workflows that bring automation to decision-making processes while maintaining full transparency and traceability of evidence. By streamlining these processes, DigitalOwl not only enhances efficiency but also empowers professionals to make informed decisions with greater confidence and speed.
API Access
Has API
No
API Access
Has API
Yes
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
Yes
Webinars
No
Live Training (Online)
No
In Person
No
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
No
Vendor Details
Company Name
Acrometis
Founded
2002
Country
United States
Website
www.acrometis.com/our-solutions/claimexpert-and-associated-services/
Vendor Details
Company Name
DigitalOwl
Founded
2017
Country
United States
Website
www.digitalowl.com
Product Features
Claims Processing
Adjustor Management
Yes
Case Management
Yes
Claim Resolution Tracking
Yes
Co-Pay & Deductible Tracking
Yes
Compliance Management
Yes
Customer Management
Yes
Electronic Claims
Yes
Forms Management
Yes
Paper-Based Claims
No
Payor Management
Yes
Policy Administration
Yes