Accelerate Demand Package ReviewStrengthen Every Decision
For TPA BI claims adjusters, turn full demand packages into a source-linked, editable summary in under 45 minutes.
See it in action
A concise view of the full demand package.
Red Flags & SIU Referral Checklist
4 of 7 flagged · Reviewed from full package
Treatment gap of 14+ days unexplained
Source page/section ref(s): p. 61
Prior injury or overlap found in medical history
Source page/section ref(s): p. 24, p. 108
Contradictory patient self-report across providers/visits
Source page/section ref(s): —
Billing exceeds usual & customary by more than 20%
Source page/section ref(s): p. 142
Every fact links back to its exact source page.
Who It's For
Built for the claims team that reads the whole file, not just the medical records.
BI and liability adjusters at TPAs, working the files day to day
Claims supervisors keeping adjuster workloads on track
VPs of Claims Operations looking to cut review time without adding an IT project
And the files they're already carrying
Desks carrying 80 to 120 open files per adjuster
Full auto-liability packages, from the liability narrative to the wage-loss paperwork
What you get
Four ways it accelerates the review.
Source-Linked, Always
Every fact links back to its exact page, so nothing is trusted blindly.
45-Minute Turnaround
What takes 2 to 4 hours by hand comes back the same day.
Zero IT Setup
Upload or email in. No CMS integration, no procurement cycle.
Red Flags, Surfaced First
Gaps, anomalies, and outliers flagged before you even start reading.
How it works
Three steps, no technology project.
Upload the Package
Send the complete demand package by upload or email.
Review the Summary
Receive the one-page review within 45 minutes, with every fact linked to its source page.
Decide and Evaluate
Use the one-page review for straightforward files or the Full Review Reference when deeper review is needed. Keep your own claims judgment.
Questions
What adjusters ask first.
Do we need CMS or Guidewire integration to get started?
No. The initial workflow uses upload or email-in, so the TPA can start right away.
How quickly can we start?
A design-partner TPA can begin with discovery calls, followed by a manual test run on approximately 5 real files.
What does the one-page review cover?
It covers liability, injuries and treatment, billing, and wage loss across the full demand package.
Does this replace the adjuster's judgment?
No. The product surfaces and organizes facts. The adjuster remains responsible for reviewing the file and making claims decisions.
What happens when a claim needs deeper review?
Straightforward files can use the one-page review. More complex files can also receive a Full Review Reference.
How do I verify the information?
Every fact is linked to its exact source page, and the one-page review is fully editable by the adjuster.
How do you validate that it works for our team?
The first test uses approximately 5 real files to compare the one-page review with the adjuster's own read for accuracy and time saved.
First week
A practical first phase, not a long implementation.
- Three discovery calls and a manual Word-template test on about 5 real files.
- Accuracy and time savings checked against the adjuster's own read.
- Adjuster feedback before broader rollout, with no CMS or Guidewire integration.
Accelerate claim review while keeping every fact traceable to its source page.