Challenges in Medical Record Summarization for Claims & Legal Teams
Why it’s complicated.
Summarizing Medical record review for claims, legal, and healthcare cases can be complicated due to:
Three persistent obstacles
Steep processing costs
Medical record review & Summarization expensed are 40% to 80% higher when performed by adjusters, paralegals, and attorneys. Often these professionals are excellent at their core jobs but struggle with medical record summarization and evaluations
Unfamiliar terminology
Even neatly prepared records can contain perplexing medical jargon and abbreviations. Professionals often face challenges interpreting medical records due to complex clinical terminology, resulting in inconsistent or inaccurate conclusions.
Disorganized, incomplete records
Medical records typically arrive unsorted, disorganized, duplicated, and incomplete files make medical record analysis slower and more difficult for claims and legal professionals.
AI-Powered Medical Record Summarization Solutions for Faster Claims Processing
What we do
Swift Ai and Swift Premium are tools that bring:
A workforce with 10+ years experience in medical summarization
AI and human summarization models trained by 10M+ medical documents
An agile platform delivering AI-powered medical review & summarization services that automate clinical insights generation with expert medical validation.
How Swift Ai & Swift Premium™ Improve Medical Record Review and Claims Decisions
Swift Ai approaches medical review using generative AI to produce reports while supported by an expert-in-the-loop review. Swift Premium uses an expert-led approach to quickly read medical records and produce an accurate summary of diagnoses, conditions, treatments received, and bills incurred
Pillars of Swift Ai and Swift Premium
Swift Ai approaches medical review using generative AI to produce reports while supported by an expert-in-the-loop review. Swift Premium uses an expert-led approach to quickly read medical records and produce an accurate summary of diagnoses, conditions, treatments received, and bills incurred
Pillars of Swift Ai and Swift Premium
Benefits of AI-Powered Medical Record Summarization
Solution Overview - Swift Ai and Swift Premium powered by Medconnection™
Human-AI collaboration platform delivering scalable medical summarization services, combining experienced medical skills and generative AI models to generate accurate clinical insights
Strategic Value Proposition
Products
Swift AI
Gen AI medical record summary designed by casualty claims professionals
Swift Premium
Expert-led medical record summarization for legal cases delivering the highest levels of accuracy
Benefits
- Improved injury evaluation process
- Fast TAT
- Low Cost 10:1 ROI
- Adjuster delight
- Expert review of AI output
- Calendar
- Negotiation Guidance
- Bill review
- System integration
Leading US P&C Insurer
Benefits: Reduction in cost per claim, reduction in claim resolution time, and increase in consumer survey scores
Benefits: Identified providers / facilities under investigation for fraud, and rising medical costs
Comparison vs. leading competitors
| Feature | Swift AI | Competitor 1 | Competitor 1 |
|---|---|---|---|
| AI Summary | X | X | |
| Bill Revenue | X | X | |
| Expert Review | X | ||
| Claims Expert | X | X | X |
| Other Platforms | X | X | X |
Claims executive at a leading mutual insurance organization
Discover how a major US retailer saved $5.5M with AI-driven innovation
See how one of the nation’s largest retailers tackled inefficient processes, reduced legal costs, and achieved a 4:1 ROI in just one year. Learn how Swift Premium™ streamlined medical reviews, improved quality to over 98%, and delivered robust insights that saves millions of dollars annually.
Learn how EXL's medical record summarization services accelerate medical record review for claims and legal teams. Download the white paper or speak with our experts today.
FAQ Question
Our Swift products reduce the time required to review medical records from weeks to days and hours.
P&C claims, house counsel, outside counsel, TPA's and any other organization that needs to review medical records
Any written reports, treatment notes, and hospital records. Swift cannot read films or photos.
Accuracy is achieved through the integration of advanced AI, clinical expertise, and rigorous quality controls. Swift AI continuously evolves with the latest AI innovations, while Swift Premium adds expert review by licensed medical professionals. Supported by ongoing training, standardized review methodologies, and robust QA processes, both solutions consistently deliver medical summaries with greater than 97% accuracy, helping organizations make faster, more informed claims decisions.
We have integrated with Guidewire and other leading claim systems
Medical record summarization helps claims professionals and attorneys quickly understand the key medical facts, treatment history, injuries, and damages without spending hours reviewing lengthy records. By highlighting the most relevant information for evaluation and negotiation, decision-makers can act with greater confidence, accelerate resolution timelines, and potentially reduce claim costs. Claims resolved earlier in the lifecycle often settle for lower amounts and incur lower handling expenses.
Our prodct costs are far less than existing processes, from 60% to 80% less
Medical record summaries provide claims professionals and attorneys with a clear, concise view of the claimant's medical history, injuries, treatment progression, and key claim drivers. By organizing complex medical information into an easy-to-review format and highlighting the most relevant facts, users can quickly assess claim value, identify strengths and weaknesses in the case, and negotiate from a well-informed position. This increased efficiency and confidence can lead to earlier settlements, reduced litigation costs, and improved claim outcomes.