MEDISOLV
CASE STUDY

How Medisolv Decodes Healthcare Reporting with Generative AI

Amazing results powered by AI Agents and a partnership-first approach to solving complex industry challenges.

65%+ Efficiency Increase

65%+ Efficiency Increase

90% Reduction in Errors

HIPAA Compliant

Our Process


The Journey to Automated Reporting

We view partners as a true extension of our organization. Together, we help clients transform their business and create high-level value that sets new standards of excellence.

About

MEDISOLV

Medisolv is a leader in healthcare quality and performance management, providing solutions that help hospitals navigate the complexities of regulatory reporting and data analysis.
Industry:
Insurance
Employees:
50–100
Use Case:
Use Case Option 2
HQ
Columbia, MD
See the Full Story
Download the detailed PDF for a deeper dive.
Download
See the Full Story
Download the detailed PDF for a deeper dive.

The Challenge

This many-step process to source and prepare information was slow. The risk of error was high, and reporting was never timely. We knew we needed to simplify and improve the system to reduce risk, make it a stronger strategic tool, but had an impossible set of requirements.

"We were drowning in data and manual processes. The risk of error was immense, and it was holding back our ability to deliver value to our clients. We needed a strategic leap, not just an incremental improvement."
François Goffinet
Chief Executive Officer

The Solution

Otera's agentic automation platform was deployed to create a digital workforce capable of interpreting and structuring complex clinical notes, lab results, and administrative data. By leveraging Otera's AI to build custom workflows, Medisolv automated the end-to-end reporting process. This included:

Contextual Data Extraction: Identifying and extracting specific data points from unstructured text with over 99% accuracy.

Automated Validation: Cross-referencing data against regulatory rules and internal quality checks in real-time.

End-to-End Process Autonomy: Creating a seamless flow from raw data ingestion to formatted report generation without human intervention.

The Result

The implementation of Otera delivered transformative results, establishing a new benchmark for efficiency and accuracy in healthcare reporting. The outcomes provided Medisolv with a significant competitive advantage and demonstrated clear enterprise value. Key results included a 65% increase in straight-through processing and a reduction in report generation time from days to minutes, fundamentally changing their operational capacity.

Evaluation Criteria
Result
Result
Result
Touchless Claims
40%
40%
40%
Touchless Claims after 6m
65%
65%
65%
Exception Handling
Human in the loop
Human in the loop
Human in the loop
Expected Future Accuracy
97.2%
97.2%
97.2%
Ease of Use
Trained by project team
Trained by project team
Trained by project team

Next Steps: From Insight to Action

The results Medisolv achieved aren’t unique—they’re the product of a repeatable approach powered by Agentic AI. If you’re wondering how ready your organization is to unlock similar impact, the best next step is an Agentic Viability Session.

In under 60 minutes, our team will:

Map your current reporting challenges against proven automation frameworks

Identify where agentic processes can reduce manual work and errors

Outline a readiness score and roadmap for achieving quick wins

Book Your Agentic Viability Session

Explore More Resources

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ANALYST REPORT
IDC Report: The Future of Enterprise Automation
Learn why agentic AI is the critical next step for scalable, resilient operations.
Read the Report →
ANALYST REPORT
IDC Report: The Future of Enterprise Automation
Learn why agentic AI is the critical next step for scalable, resilient operations.
Read the Report →
ANALYST REPORT
IDC Report: The Future of Enterprise Automation
Learn why agentic AI is the critical next step for scalable, resilient operations.
Read the Report →