Decision intelligence for complex claims

Clarity on your most complex claims.

Complex claims are where the money goes.
Get to a Defensible Decision 60% faster for litigated claims.

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Trusted by leading claims organizations.

Accelerate your complex claims lifecycle

From first document to final decision. Wisedocs prepares the record, surfaces what changes the outcome, answers questions against the file, and shows the pattern across the book.

Notice of Treatment — Consents

Notice of Treatment — Legal Document

Uploaded on July 21, 2025

•••

Notice of Treatment

Emergency

Indexed

Demand Letter

Legal Document

X-Ray of the Left Knee

Diagnostic Report

WisePrep

Bring order to every claim file

Triage your most important claims, remove duplicates, and alert for co-mingled records.

Claim strength signal

I am not certain that I specifically told the officer about the phone. I was in pain and I was shaken up.

Medical treatment history

The witness sought chiropractic treatment at Injury Rehab Associates for his injuries from the car accident starting on September 27, 2021.

P.8 L1

WiseInsights

See the insight and its source

Surface the medical events, care gaps, and claim signals that change the decision.

Users and Roles

Users

Teams

Roles

B

Brandy Handley

External

Z

Zackery Poullion

External

J

Jayson Langworth

External

IME

Adjuster

Outside counsel

WiseShare

Bring every stakeholder into one workspace

Collaborate across teams. Bring outside counsel and IMEs into the platform with secure access and permissions.

Date

Risk Level

Travel Distance

Provider

Risk Network

Total Cases

150

↗ 12%

vs. last 30 days

High-Risk Providers

4

↗ 15%

vs. last 30 days

WiseAnalyze

Turn portfolio patterns into action

Surface entity and cohort intelligence, including provider recurrence, facilities, attorneys, and unusual cohorts, so a human can make the decision.

Measured results

Outcomes that move complex claims forward.

National carrier

$6M

Cost reduction

Claims operations

60%

Faster litigated claims processing

National IME firm

70%

Faster medical record reviews

Regional Work Comp Defense Firm

150%

More daily processing capacity

Defense law firm

Under $500

Cost per case, down from $8,000+

Vocational evaluation

50%

Faster case reviews

TPA

71%

Faster processing, with same-day contact

Lines of business

Defensible AI for every line of business

Clinician reviewing a patient's medical records on paper

WisePrep · Chronology

Treatment gap flagged

Our deepest market, and our least-told story.

The claim that becomes expensive rarely looks expensive at first notice. It looks routine, with a treatment history that quietly lengthens.

Trusted in workers' compensation by

Sort every page by date, provider, facility and record type on arrival

Surface treatment gaps and provider recurrence early enough to move the reserve

One source-cited chronology for adjusters, nurse reviewers and counsel

Build the timeline, understand the claim

Bodily injury claims continue to grow in complexity — medical records are longer, treatment patterns are harder to assess, and scrutiny from plaintiff counsel, regulators, and defense partners is higher than ever.

Trusted in Auto Liability by

Sort every page by date, provider, facility and record type on arrival

Compare medical diagnosis against jurisdiction guidelines

One source-cited chronology for adjusters, nurse reviewers and counsel

Triage, Identify and Understand Litigated Claims

Deposition transcripts are where key clinical information is buried, and claims are won or lost. Defense teams can navigate directly to the sections most relevant to their review, rather than reading through hundreds of pages of testimony linearly.

Trusted in General Liability by

Flag gaps in demand letters and depositions against medical records

Surface treatment gaps and provider recurrence early enough to move the reserve

One source-cited chronology for adjusters, nurse reviewers and counsel

Review Medical Decisions Across 100k Pages

Complex medical malpractice matters routinely involve records from dozens of providers spanning years, sometimes decades, of treatment. A single case can easily exceed 100,000 pages across hospitals, specialty practices, rehabilitation facilities, and diagnostic imaging centers.

Trusted in Medical Professional Liability by

Sort every page by date, provider, facility and record type on arrival

Standard of Care Analyzer flags inconsistencies against guidelines

One source-cited chronology for adjusters, nurse reviewers and counsel

Understand The Disability Claim Story

Disability claims require a deep understanding of medical records, government guidelines, and insurance policies. The complexity of disability claim was the origin story of Wisedocs.

Trusted in Disability and Income Protection by

Sort every page by date, provider, facility and record type on arrival

Disability Synopsis flags key assessments, treatments and accommodations

One source-cited chronology for adjusters, nurse reviewers and counsel

Claims Intelligence in a Secured Environment

Government agencies handle some of the most complex claims with the highest governance and security expectations. Improve community outcomes with Digital Transformation.

Trusted in Government and Public Sector by

Sort every page by date, provider, facility and record type on arrival

Surface treatment gaps and provider recurrence early enough to move the reserve

One source-cited chronology for adjusters, nurse reviewers and counsel

Citations and defensibility

Defensible AI focused on the source records

Move from a prioritized file to a reviewable decision without losing the evidence beneath it. Every finding preserves its document, page, reviewer, and action history.

Wisedocs triage view of all cases with claimant names, case status and a litigation risk panel

Linked citation

“Demand is materially above the analyzer-supported settlement range.”

Tom Clai · Litigation risk 94 · Analyzer confidence 96%

Wisedocs deposition intelligence flagging a contradiction between witness testimony and the record, with page and line citations

Cited AI insight

Automatically flag key admissions, contradictions, missing records, and other critical insights, giving claims and legal teams immediate access to the evidence that matters most.

Wisedocs source review comparing an employee's report of injury with the original handwritten source record

Source review

Compare AI Insights, Medical Summaries, and Indexes against the original source record side by side. Every finding is backed by direct citations and linked medical records, so claims and legal teams can verify evidence & move forward with confidence.

WiseShare file manager with a Share File button and file access details

WiseShare

Adjusters, defense counsel, and IME providers all work from the same file. Share it in one click, with a complete audit trail of who accessed what and when, and revoke access the moment the matter closes.

Defensibility

29 jurisdictions expect insurers to evidence how AI is governed.

Twenty-five jurisdictions have adopted the NAIC Model Bulletin. California, Colorado, New York, and Texas apply insurance-specific AI regulation or guidance. The insurer remains responsible for supplier tools.

25

Model Bulletin jurisdictions

4

Insurance-specific rules or guidance

US map of AI regulation: 25 jurisdictions with the NAIC Model Bulletin and 4 with insurance-specific rules (California, Colorado, New York, Texas)

Source: NAIC, status as of April 1, 2026

View all 29 jurisdictions

Controls built for the most regulated claims

AICPA SOC 2

SOC 2

Type II compliant

HIPAA

HIPAA

Compliant

GDPR

GDPR

Compliant

AWS

GovCloud