Data and AI solutions for healthcare payors
Mission Cloud, a CDW company, is a leading born-in-the-cloud managed services and consulting provider, offering end-to-end cloud services, innovative AI solutions, and software for AWS customers. As an AWS Premier Tier Partner, we help manage your technology investments, improve performance and governance, scale to meet demand, safeguard your data, and innovate fearlessly.
HealthDocs AI
Intelligent Document Processing for Healthcare Payors
Enhance member experience and operational efficiency with AI-powered document processing tailored for healthcare organizations.
Healthcare payors face significant challenges with the immense volume of claims, prior authorization requests, member correspondence, and provider documentation that must be processed accurately and within regulatory timelines. HealthDocs AI addresses these challenges by improving accuracy and efficiency through automated workflows, intelligent data extraction, and seamless integration with core claims and utilization management systems in a HIPAA-compliant framework.
After integrating your payor documents into AWS through a secure ETL pipeline, we build a customized solution using Amazon Textract, Amazon Comprehend Medical, Amazon Bedrock Data Automation, and Amazon Bedrock to extract structured data and implement intelligent workflows that advance claims modernization, strengthen your health data strategy, and optimize administrative cost.
Key healthcare data & AI use cases
Claims modernization
Automate intake, validation, and adjudication of claims, EOBs, and attachments to reduce manual touches, lower denial rates, and accelerate accurate payment.
Prior authorization automation
Extract clinical criteria from authorization requests and supporting records to speed medical necessity review, shorten turnaround times, and improve provider and member experience.
Fraud, waste & abuse detection
Flag anomalies, duplicate billing, and coding irregularities across claims documentation to strengthen payment integrity and reduce cost of care.
Our proven process
Customer success story
Paynela accelerates patient care with AI-powered document processing
Challenge
Paynela, a healthcare financing innovator, was struggling with manual payment adjudication processes for patient financial assistance programs. This manual approach caused significant backlogs and delayed payments to patients, with claim reviews taking up to two business days and adjudication requiring 6-8 minutes per claim. They needed to automate their document processing to improve efficiency and patient support.
Solution
Mission implemented a tailored Intelligent Document Processing solution using AWS services, combining Optical Character Recognition (OCR) with Amazon Textract to automatically extract data from complex medical documents. This was enhanced with Amazon Bedrock's Large Language Models to analyze and interpret the extracted healthcare information, creating a comprehensive IDP workflow specifically designed for healthcare financial documentation.
Healthcare Data Strategy & AI Foundation
AI-Ready Data Foundation for Healthcare Organizations
Turn fragmented healthcare data into a governed, interoperable foundation that accelerates analytics, automation, and patient outcomes.
Healthcare organizations are investing heavily in AI and analytics, but their data remains fragmented across EHRs, claims systems, release of information platforms, imaging, and legacy applications. Without trusted, governed data, AI initiatives stall at the pilot stage. Healthcare Data Strategy & AI Foundation addresses these challenges by building a secure, interoperable data platform on AWS with the governance, auditability, and HIPAA-aligned controls required to scale.
We start with a data strategy assessment and prioritized roadmap. Then we build a modern health data lake using Amazon S3, AWS Glue, AWS Lake Formation, AWS HealthLake, Amazon Athena, and Amazon Redshift. From there, we enable FHIR-based interoperability and Amazon Bedrock-powered analytics and AI workloads that turn healthcare data into a strategic asset.
Key healthcare data & AI use cases
FHIR interoperability
Enable HL7/FHIR-based ingestion, normalization, and API access so providers, payors, and partners can exchange and retrieve healthcare data securely and at scale.
Analytics & AI enablement
Power clinical, operational, and population health analytics, plus AI use cases like clinical document summarization and prior authorization automation.
Secure data sharing
Share governed datasets with providers, partners, and researchers through compliant access controls, full lineage, and audit logging that protect sensitive health data.
Our proven process
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Explore more AWS payor solutions
Mission Cloud is one of several AWS partners featured in the AWS Payor Program. See all featured partners and their solutions for payor organizations.