The decision fabric
Computational clarity for workers’ compensation
Deploy an explainable decision intelligence layer configured directly to your clinical guidelines, state rules, and organizational thresholds. Transform raw claims documentation into deterministic outcomes.
The operational pipeline
The clear path to decisions
01
Ingest and Normalize
Our semantic extraction transforms raw physician notes, medical reports, and claim logs into structured clinical concepts instantly.
02
Verify with Guardrails
Deterministic logic layers cross-reference SNOMED mapping guidelines and state jurisdiction constraints to validate clinical intent.
03
Route and Audit
Fully verified requests route to claims administration systems with a transparent, audit-ready decision trace preserved forever.
Capabilities
Engineered for absolute accuracy
01
Clinical Analytics
Aggregate and parse unstructured clinical charts and historical medical records to extract precise treatment paths.
02
Claims Triage
Automatically route incoming workers’ compensation requests based on complexity thresholds and confidence scores.
03
Decision Engine
Execute state-compliant criteria checks using an explainable, deterministic rule engine that shows its work.
04
Compliance Reporting
Generate instant, audit-ready decision traces that satisfy regulatory guidelines and state divisions of WC.
05
Integration APIs
Connect standard terminology mappings (SNOMED, CPT, ICD-10) directly into your legacy claims systems.
06
Real-time Monitoring
Observe operational metrics, queue status, audit pipelines, and clinician-matching metrics live.
Measurable impact
Engineered to accelerate recovery and claim closure
-40%
Claim Cycle Time
Average reduction in clinical review backlogs
99.8%
Audit Accuracy
Zero-error automated alignment with state guidelines
3.2x
ROI Reached
Decreased operational cost per workers’ comp decision
Ready for audit-ready alignment