APS Summary: Make your claim decisions faster

Worried about lengthy, mess-filled APS reports and looking for a solution? If so, maximize the efficiency of your process with Attending Physician Statement (APS) summaries. APS summary offers underwriters a streamlined overview of the patient’s medical history pertinent to an insurance application. They enhance the performance and position of underwriters in the legal context of healthcare. That’s the reason why APS became an incredible tool for underwriters.

By reading this blog, you will gain insights into the benefits of APS summary and how it helps underwriters to speed up their claim decisions.

What is APS Summary?

APS summary distills essential medical information from vast APS reports and summarizes the patient’s medical records in a concise, comprehensive, and easily digestible report. With an APS summary, underwriters can quickly locate relevant information to make informed decisions. The goal of APS summary is to increase the speed and efficiency of the underwriting process without the need to sift through extensive APS reports.

Key benefits of APS summary in underwriting

Highlights relevant information

The APS reports explain the entire medical journey of the claimant under the care of multiple physicians or healthcare centers. They contain a vast number of pages that are disorganized and filled with medical jargon. To solve this, APS summary plays a vital role by providing clear and concise medical history summarization to make claim processing efficient and accurate. It includes key health details like diagnosis, medications, test results, and so on, which supports standardized evaluation.

Improved quality

Underwriting often requires the review of vast APS reports, which can be time-consuming, overwhelming, and labor-intensive. APS medical summaries significantly reduces the burden of underwriters by providing a comprehensive synopsis of an applicant’s health history. Rather than getting delayed by administrative tasks, underwriters can optimize their time focusing on higher-value tasks to achieve accurate risk assessment.

Refined accuracy

APS reports are complex and easy to misread. APS summary ensures that the claimant’s health status is accurately captured and highlighted without missing critical information. It presents appropriately interpreted data in chronological order. The contradictions in APS charts are rectified by the APS summary to reduce the risk of minor errors and omissions. This leads to more precise underwriting decisions, reducing the mistakes in underwriting or claim decisions.

Faster evaluation times

APS summary reduces the need for manual record review by providing a focused, easy-to-understand overview of the applicant’s medical history. By summarizing the vital details, there is no need for back-and-forth communication with the physician or claimant. Standardized summaries lead to faster claim resolution by comparing the health condition against policy terms, exclusions, or waiting periods. This allows underwriters to assess the insurability of the claim quickly by saving their time and resources.

Cost-effective

Underwriters can save both direct and indirect costs by using APS summary. When underwriters review a full APS report, it can take hours per case. Well-structured APS summaries can help underwriters to complete the same task within minutes. This assists underwriters to handle more cases in less time. Less time per claim leads to lower labor costs. APS summary also helps insurers to close more cases per month by using fewer resources.

APS reports often trigger questions for clarification from physicians or required documents from claimants. A clear APS summary prevents unnecessary follow-ups, reducing extra fees for additional medical information. Disorganized APS charts can lead to mistakes that result in legal challenges and reprocessing costs. These costly errors can be averted by using a well-organized APS summary.

Making faster decisions

Condensing long, detailed medical reports into key information helps insurers quickly assess facts and act. By highlighting dates of events, treatment procedures, and prognosis, they can quickly determine claim eligibility, liability, and benefit amount. They can make decisions in minutes rather than hours.

Summaries are designed to be targeted, reducing the need to ask the physician for clarification and contact the claimant for more details. This feature enables instant decisions on straightforward claims or underwriting cases. APS summaries can help underwriters quickly spot policy exclusions, confirm the claimant’s application, and validate pre-existing conditions. The underwriters can easily cross-check insurance applications, policy terms, or other documents. This ensures decisions are made based on factually aligned information.

In short, an APS summary provides factual evidence in evaluating a claimant’s medical history. It delivers physician-verified insights into the patient’s health status. Its primary benefits include enhanced accuracy in risk assessment, improved underwriting decisions, and validation of claimant-disclosed information by providing context evident from APS charts. By noting all vital criteria, APS summary supports underwriters in making a more informed, fair, and personalized decision-making process. Ultimately, it strengthens the integrity and efficiency of the underwriting by ensuring a thorough understanding of the individual’s overall health profile and supporting evidence-based claims.

At LezDo TechMed, we provide APS summary services tailored to suit the underwriter’s needs, ensuring informed and efficient decision-making. Our summaries are designed to support the underwriter’s confidence and compliance in claim settlements.