home > solutions > industry solutions > insurance > medical claim review

Improving Medical Claim Review with ECM

An insurer’s medical review requires considerable documentation and review of pertinent data by multiple parties during the underwriting and even the claims resolution process. An electronic document management system facilitates digital capture of paper, voice and digital files, emails, faxes, images, X-rays, and other documentation, making instant and secure access a reality without the documents having to leave the office.

Quick evaluation of the medical necessity of services and supplies, benefit verification, and claims that exceed usual and customary guidelines all lead to faster settlement. Simultaneous review of materials and images, approval and signing of documents, and other actions are made easy with automated workflow, enabling insurers to make decisions in a fraction of the time required previously. DocFinity further simplifies medical review with:

• The ability to electronically capture, access, manage, and store all of your business-critical information in a secure, centralized repository.


• Electronic forms and barcode recognition software. This gives insurers greater data accuracy at the source while eliminating paper.


• BPM/Workflow. This increases the value of the digital information exponentially, enabling you to standardize processes, ensure they are complete, and expedite processing.


• Seamless integration with your other applications, which helps you achieve more. Compliance is easier to manage and demonstrate using built-in administrative security and robust reporting tools that help you monitor access.

If you would like to discuss how DocFinity can help you expedite the medical review process, contact us or email info@docfinity.com.