Medical Record Review for Insurance Providers

Underwriting Factor

Manual APS Review

Generic AI Summarization Tools

LezDo TechMed CaseDrive

Turnaround time for APS files

Often 5 to 10 business days per file, depending on staff availability and file volume.

Automated output in minutes, but typically unreviewed and not tailored to underwriting workflows.

AI-assisted extraction with human review, delivered on a 48-hour standard once scope is confirmed for most files.

Gap and inconsistency detection

Depends on individual reviewer experience and available time; gaps can be missed under high caseloads.

May flag keyword matches but generally lacks the clinical context to distinguish true gaps from routine documentation.

AI-assisted flagging of documentation gaps and inconsistencies, verified by a licensed medical reviewer before delivery.

Human oversight

Fully human-reviewed, but throughput is limited by reviewer capacity.

Typically no licensed medical reviewer in the loop; output is used largely as-is.

Every AI-generated summary passes through a licensed medical reviewer before it reaches your underwriting team.

Data security and compliance

Depends entirely on internal file handling protocols.

Data handling practices vary by vendor and are not always disclosed.

Maintains ISO 27001 and ISO 9001:2015 certifications and has completed a SOC 2 Type II attestation; processes are designed to comply with applicable HIPAA and GDPR requirements.

Scalability during high file volumes

Limited by available reviewer headcount; backlogs can form during volume spikes.

Scales output volume easily but generally without medical reviewer oversight to maintain quality.

Scales to high file volumes while keeping the same human-in-the-loop review on every file.