OPEN APPLICATION · 02

Claims Audit
Review. Resolve. Recheck.

It combines claims rules, coding standards, medical-record review and evidence requirements into pre-screening, case review, issue detection across batches and a human corrective action loop.

Discuss the review application

Medical Insurance Spot Audit application workspace — Willow · Medical Insurance Spot AuditIllustrative product interface

REVIEW

Separate rules, evidence and inference

Diagnosis, procedure, timeline and Episode review present the applicable rules, data evidence and analytical inferences together.

QUEUE

Individual cases and batches in parallel

Case timelines, anomaly queues, issue hotspots and documentation / coding checks support human review at different levels.

CORRECTIVE ACTION

Beyond finding issues

Turn missing materials, coding review, medical-record feedback and evidence of corrective action into tasks with assigned responsibility, then verify the results through rescans.

Connect screening findings to recorded corrective action and review.

Review findings must distinguish rules, evidence and inference, then lead to verifiable remediation. Support individual and batch review, organize case evidence, assign corrective work and verify it through rescanning. Designed; engineering status requires confirmation. Human reviewers confirm findings and corrective decisions.

Conditions for getting started

Designed / Engineering status to be confirmed · Designed; engineering status requires confirmation. Human reviewers confirm findings and corrective decisions.