MedNeutral for Insurance Carriers

Solution Overview - Streamlining Injury Claims Processing

MedNeutral helps insurance carriers by streamlining their medical record review and claim adjudication processes. MedNeutral was founded upon the observation that medical records contain great potential to improve injury claim outcomes for injury claims. However, adjusters frequently have difficulty identifying the most pertinent information amongst the unstructured records, duplicate, missing and handwritten records when processing injury claims.

As a result, our experience within leading insurance organizations suggests that the information within these records is underutilized and often overlooked in the adjudication process.

Medical Claims Processing

MedNeutral's MROTM solution extracts critical information and presents medical context to support decision making in order to help make the injury claims process easier. MRO comprises a multi-stage process in which medical files are digitized, indexed, abstracted, and analyzed. The result is a highly structured and web-based medical summary that allows adjustors to efficiently and accurately incorporate medical facts and context into each stage of the injury claims handling process, including reserve setting, investigation, adjudication, settlement, and subrogation.

Implementation of MedNeutral has led to significant improvements in client performance, making it a foundational tool for claims transformation and innovation.

What is inadequate medical record review costing your organization?

  • Medical Losses constitute 50%-60% of indemnity costs across key lines of P&C insurance

  • Increases in claimed losses have easily outpaced medical inflation for the last 5 years

  • Insurance Research Council studies suggest that nearly one in three injury claims contained some indicators of fraud