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Automating Claims Verification for Faster Insurance Processing
Unthinkable helped Authentic4D digitize and automate its claims verification process, reducing claim cycle times and enhancing efficiency with a secure, cloud-based web application for medical image assessments

TABLE OF CONTENT

About the Client

Authentic4D is a leading U.S.-based health-tech company specializing in injury claim verification. It provides insurance carriers, plaintiffs, and self-insured corporations with an FDA-approved, visual analytics platform that offers expert medical reviews within 48 hours and undeniable video evidence within 72 hours.

Business Situation

Authentic4D faced inefficiencies in its manual claims verification process, impacting speed, accuracy, and scalability.

  • Manual record transfers required sending physical files to radiologists, delaying claims assessments.
  • Limited scalability restricted the ability to handle growing claim volumes efficiently.
  • Time-consuming assignments caused delays due to radiologist availability mismatches.
  • Lack of automation led to errors in managing diagnostic image workflows.
  • Storage constraints due to HIPAA-compliant data retention policies increased operational costs.
  • Security concerns required end-to-end encryption for handling sensitive medical data.

The Solution

Unthinkable partnered with Authentic4D to build a cloud-based web application that automated claim verification while ensuring compliance, security, and scalability.

The new solution streamlined radiology record transfers by enabling digital uploads of diagnostic images, eliminating delays caused by physical file management. A work management tool assigned cases based on radiologist availability, reducing claim cycle times. Cloud storage integration ensured cost-effective data retention, while robust security measures, including end-to-end encryption, safeguarded sensitive medical records.

  • Automated claim assignments to match cases with available radiologists instantly.
  • Digital image management for seamless diagnostic record uploads and retrievals.
  • HIPAA-compliant encryption to protect sensitive health information.
  • Scalable cloud storage using Amazon S3 for cost-effective data management.
  • Customizable rules engine to adapt workflows for different insurance providers.
  • Intuitive user roles for hospitals, radiologists, and insurance carriers.

The Impact

With Unthinkable’s web application, Authentic4D accelerated claims verification and reduced inefficiencies in its manual processes. Over 10,000 claims have been processed across all 50 U.S. states. Insurance carriers now benefit from reduced claim denials and faster assessments, leading to improved patient outcomes. The solution has also been recognized in peer-reviewed legal and medical journals for its innovation in healthcare technology.

Conclusion

Unthinkable transformed Authentic4D’s claims verification process by introducing automation, security, and scalability. The digitized workflow significantly improved operational efficiency, enabling insurers to make faster, more reliable claim decisions while maintaining compliance with healthcare regulations.

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