CDI Canvassing utilizes a tech-enabled medical canvassing platform to streamline insurance claims processing by automating workflows and enhancing data accuracy. This approach reduces turnaround times by 40% and lowers costs, addressing inefficiencies in verifying claimant medical histories and uncovering potential fraud.
Funding
Funding not disclosed
Founders
Product
Problem
Insurance claims processing often suffers from inefficiencies in verifying claimant medical histories, leading to delays, increased costs, and potential fraud. Traditional medical canvassing methods can be slow, labor-intensive, and lack comprehensive data analysis capabilities.
Solution
CDI Canvassing offers a tech-enabled medical canvassing platform designed to streamline insurance claims processing through workflow automation and enhanced data accuracy. The platform automates critical canvassing events, such as demographic pre-checks and provider identification, significantly reducing turnaround times and lowering costs. By leveraging advanced technology and optimized processes, CDI Canvassing helps uncover undisclosed treatment, claimant misrepresentations, and pre-existing conditions, enabling more informed decision-making in claims management. The platform's features include radial maps and hyperlinks of data points, along with tools to assist with analysis and interpretation of information contained in the canvass report.
Target Audience
CDI Canvassing primarily serves insurance companies, attorneys, and claim administrators involved in AD&D, Auto Bodily Injury, LTD, STD, Accident, Critical Illness, Workers’ Compensation, and Litigation claims.
Features
- Demographic database pre-check to validate claimant information
- Automatic workflow actions for critical canvassing events
- Provider identification matching requested type and scope
- Radial maps and hyperlinks of data points for easy navigation
- Tools for analysis and interpretation of canvass report information
- Identification of undisclosed treatment and claimant misrepresentations
- Detection of pre-existing conditions and injuries
- HIPAA compliant process