Intelligent Medical Records

Analyzing medical records presents unique challenges and has created common pain points for Payers across the industry. Some of the most common are applying a standard methodology to disparate files when parsing data, managing large volumes of documents, and compliance with state-mandated regulations and other associated requirements.

Our Customers often experience a 40-50% savings in the amount of time spent reviewing the medical record

Intelligent Medical Records

Medical Record Indexing

Intelligent Medical Records Summary extracts key medical concepts from the medical record and allows the reviewer to interact with the medical record. All extracted data points are configurable to meet your unique business needs.

Intelligent Medical Records

Redundancy Detection

With roughly 50% of the medical record text being repetitive, our redundancy detection identifies text that is copied forward within the record and allows reviewers to focus on the new information.

Intelligent Medical Records

Configurable Outline

Outlines ranging from Utilization Management to HEDIS or Bill Review can be applied to the medical records. Each outline extracts key data points that are relevant to that use case and improves the ability for the reviewer to more quickly locate the information they need.

Intelligent Medical Records

Plain Text Summary

Our Natural Language Summary provides an AI-generated plain text overview of the contents of the record.

Intelligent Medical Records

Medical Record Indexing

Intelligent Medical Records Summary extracts key medical concepts from the medical record and allows the reviewer to interact with the medical record. All extracted data points are configurable to meet your unique business needs.

Intelligent Medical Records

Redundancy Detection

With roughly 50% of the medical record text being repetitive, our redundancy detection identifies text that is copied forward within the record and allows reviewers to focus on the new information.

Intelligent Medical Records

Configurable Outline

Outlines ranging from Utilization Management to HEDIS or Bill Review can be applied to the medical records. Each outline extracts key data points that are relevant to that use case and improves the ability for the reviewer to more quickly locate the information they need.

Intelligent Medical Records

Plain Text Summary

Our Natural Language Summary provides an AI-generated plain text overview of the contents of the record.

How Automation Aids Medical Record Indexing & Analysis

Reading medical records is onerous, error-prone, and time-consuming and interpreting medical records manually increases costs significantly. Our proprietary AI technology automatically parses, summarizes, and extracts relevant data from a medical chart. After intake, we perform standard machine learning processing tasks such as tokenization and stop word removal. At this step, we also gather and analyze industry-related referential data, but to further aid this process we have also created algorithms that provide complex configurations to optimize any specific client requirements needed. We can topically and chronologically organize the records enabling swift reference and quality interpretation, thus improving clinicians’ quality and productivity in analyzing medical records.

 

Link to Blog 
Over 40%
Review Time Saved
100%
Fully Automated
Up to 60%
Redundancy Detected
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CLIENT STORY

Katie Jones

“When you have the opportunity to radically improve how people interact with the healthcare system, you find partners like Smart Data Solutions. ...”
View Story
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CLIENT STORY

Debbie Ziegler

“SDS performs all of our front-end services. This includes clearinghouse, scanning, imaging, OCR and mailroom. SDS also facilitates and performs ...”
View Story
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CLIENT STORY

Matthew Estes

“SDS does EDI file translation mapping, eligibility checking, and routing to/from our business partners. SDS handles a lot of the heavy lifting for us ...”
View Story

CLIENT TESTIMONY

Katie Jones

Katie Jones
Director of Claims Management
“When you have the opportunity to radically improve how people interact with the healthcare system, you find partners like Smart Data Solutions. Through our partnership and new processes, we have been able to reduce the amount of time spent reviewing redundant information in medical records and allow them to focus on the important matters at hand! Health Admin (formerly known as Crown Administrators) is looking forward to continuing our partnership with Smart Data Solutions and creating more efficiencies alongside their teams!”
“When you have the opportunity to radically improve how people interact with the healthcare system, you find partners like Smart Data Solutions. Through our partnership and new processes, we have been able to reduce the amount of time spent reviewing redundant information in medical records and allow them to focus on the important matters at hand! Health Admin (formerly known as Crown Administrators) is looking forward to continuing our partnership with Smart Data Solutions and creating more efficiencies alongside their teams!”
View Solution

CLIENT TESTIMONY

Debbie Ziegler

Debbie Ziegler
Executive Director of Operations
“SDS performs all of our front-end services. This includes clearinghouse, scanning, imaging, OCR and mailroom. SDS also facilitates and performs automated routing to PPOs and networks, thereby ensuring that we expediently maximize client discounts. SDS also does pre-adjudication edits, such as member and provider matching. Finally, SDS provides custom IT services such as file format conversion and transfer for our Amerihealth and BCI partnership claims. SDS has a comprehensive service suite thereby allowing “one-stop shopping’ for all our front-end services. This is both cost-effective and much easier to manage. In addition, their IT aptitude allows us to fill in the gaps for one-off type projects. The process runs smoothly without much intervention. When we do have an issue they are quick to respond with a solution.”
“SDS performs all of our front-end services. This includes clearinghouse, scanning, imaging, OCR and mailroom. SDS also facilitates and performs automated routing to PPOs and networks, thereby ensuring that we expediently maximize client discounts. SDS also does pre-adjudication edits, such as member and provider matching. Finally, SDS provides custom IT services such as file format conversion and transfer for our Amerihealth and BCI partnership claims. SDS has a comprehensive service suite thereby allowing “one-stop shopping’ for all our front-end services. This is both cost-effective and much easier to manage. In addition, their IT aptitude allows us to fill in the gaps for one-off type projects. The process runs smoothly without much intervention. When we do have an issue they are quick to respond with a solution.”
View Solution

CLIENT TESTIMONY

Matthew Estes

Matthew Estes
Chief Information Officer
“SDS does EDI file translation mapping, eligibility checking, and routing to/from our business partners. SDS handles a lot of the heavy lifting for us and allows us to focus on what we do best. No matter how complex the setup and routing, SDS has always been able to make it work for us.”
“SDS does EDI file translation mapping, eligibility checking, and routing to/from our business partners. SDS handles a lot of the heavy lifting for us and allows us to focus on what we do best. No matter how complex the setup and routing, SDS has always been able to make it work for us.”
View Solution

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Why handle the heavy lifting of your claims workflow when a smart team enhanced by AI can?

Our tools, solutions, and continued research into new AI and machine learning processes help payers nationwide reduce costs, achieve greater process efficiency, and reduce turnaround times.

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