Secure Exchange Solutions Selects Linguamatics NLP to Streamline Inefficiencies between Healthcare Payers and ProvidersLinguamatics
Collaboration addresses major bottlenecks in prior authorization and medical review
Cambridge, England and ROCKVILLE, Md. — June 26th, 2018 — Linguamatics, the leading natural language processing (NLP) text analytics provider, and Secure Exchange Solutions (SES), a market leader in enabling the secure exchange of health information, today announced the selection of Linguamatics Health as the NLP platform for SES SPOT, a solution that, when combined with SES Fetch, streamlines clinical information exchange and automates the review process.
Inefficient medical review processes (either before or after submitting claims) are major contributors to rising costs in healthcare systems. SES SPOT was developed to evaluate clinical information to help control costs and improve outcomes so that patients receive the appropriate care rapidly, reducing manual effort for providers and public or private health plans, and providing the opportunity to dramatically save time and money.
SES SPOT includes Linguamatics I2E to provide Artificial Intelligence (AI) to extract information from both free text and codified data in an electronic medical record, to compare extracted data with guidelines, and to return evidence, recommendations and an audit trail to automate or semi-automate approval of claims.