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A leading health plan processing 45,000+ monthly authorization requests faced critical operational bottlenecks. Medical review staff spent 35-50 minutes per case manually reviewing physician orders, diagnostic reports, clinical notes, and treatment histories.
Finding relevant information required lengthy reports across multiple documents. The organization needed intelligent automation to accelerate workflows while maintaining decision quality and regulatory compliance.
Novacis Digital delivered a Document Intelligence Platform with Conversational Search combining automated document processing with natural language search. The platform automatically categorizes documents (60+ types), extracts key information, and verifies coverage criteria.
Reviewers ask questions in plain English like "Has the patient tried two conventional medications?" and receive instant answers with source references. Pre-configured workflows handle common scenarios with continuous learning for improved accuracy. The secure architecture keeps patient information within the health plan's environment with no data stored beyond active sessions.
Document Intelligence Capabilities
Conversational Search Features
The solution was deployed using a secure architecture that keeps all patient information within the health plan's environment while leveraging cloud-based AI capabilities, ensuring privacy compliance with no data stored beyond active review sessions.
reduction in review time
reduction in review time
reduction in review time
reduction in review time
reduction in review time
reduction in review time
