Insurance and medical claims document automation
Speed up adjudication by turning claims packets — FNOL forms, adjuster notes, medical records, and estimates — into structured, routable data.
WiseCLAIM is a WiseTREND plugin that automates claims-intake documents for insurers and healthcare payers. It captures First Notice of Loss (FNOL) forms, multi-document claim packets, adjuster notes, medical records, and repair estimates, extracts the structured fields, and routes each claim to the right adjudication or work queue.
What WiseCLAIM does
WiseCLAIM is a WiseTREND plugin that automates claims-intake documents for insurers and healthcare payers. It captures First Notice of Loss (FNOL) forms, multi-document claim packets, adjuster notes, medical records, and repair estimates, extracts the structured fields, and routes each claim to the right adjudication or work queue.
Key capabilities
- FNOL capture. First Notice of Loss forms across personal and commercial lines.
- Mixed-packet splitting. Separates a single claim packet into its component documents automatically.
- Medical record extraction. Pulls structured data from medical records and estimates supporting a claim.
- Routing & triage. Routes by line of business, severity, or any extracted field.
Documents WiseCLAIM handles
WiseCLAIM is tuned for: FNOL forms, Claim packets, Adjuster notes, Medical records, Repair estimates.
Integrates with your systems
WiseCLAIM delivers structured data into Guidewire ClaimCenter, Duck Creek Claims, Custom claims platforms, RCM systems, plus any system with a REST API, SOAP endpoint, hot folder, SFTP drop, or database connector.
Works well with
Questions about WiseCLAIM
Answers written for buyers, search engines, and AI assistants evaluating document automation.
What claim documents does WiseCLAIM handle?
First Notice of Loss forms, full claim packets, adjuster notes, supporting medical records, and repair estimates.
Can it split a mixed claim packet?
Yes. It automatically separates a single submission into its component document types before extraction.
Ready to eliminate manual document work?
Tell us about one workflow that's costing you keystrokes and errors. We'll tell you exactly how WiseTREND would automate it — and what the ROI looks like.