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Healthcare BPO & Administrative Outsourcing Services

Turning Scattered Records Into Case-Ready Information

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Scattered information on medical records, backlogged claims and unanswered patient calls all slow down the same thing: the decision someone downstream is waiting on.

1Point1 runs the back-office and front-line support work behind medical-legal case prep, insurance claims and patient access, so law firms, carriers and healthcare organisations get clean, case-ready information instead of a pile of unprocessed pages.

Medical Record Services

For law firms, medical record retrieval companies, and litigation support teams.

A woman in a white lab coat and glasses is sitting at a desk, reviewing and flipping through documents with a pen in her hand in a bright office setting.

Medical Record Retrieval Support

Our team handles end-to-end medical record retrieval for attorneys, law firms and record retrieval companies, covering personal injury, mass tort and insurance medical record retrieval cases. Every file moves through a HIPAA-compliant retrieval process built for volume, not just single-case requests.

  • Document processing and indexing
  • Request packet preparation and authorization processing
  • Fee check and payment processing
  • Provider portal intake work

For the full order-to-delivery workflow, including provider follow-up, multi-layer quality checks and real-time case tracking, see our dedicated Medical Records Back Office & Retrieval Support service.

Medical Record Summarization & Chronologies

Our medical chart review and medical record review services span personal injury, IME and QME (Qualified Medical Examiner) cases, along with medical record review for doctors and for insurance claims. From there, our team builds medical record summaries and medical chronologies formatted for how the case will actually be used, whether that's a personal injury medical record summary for a law firm, a workers' compensation medical summary for a claims file, or a HIPAA-compliant medical record summary for expert or mass tort review.

  • Clinical record review and medical chart review for law firms
  • Medical narrative summaries and healthcare record summaries
  • Medical chronology services for legal cases and insurance claims
  • Expert and mass tort medical record summaries

See the full scope of our review work on the Medical Record Summarization & Review Services page, or see how we build sequenced, source-referenced timelines on our Medical Record Chronology Services for Legal Cases page.

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Doctor reviewing medical records on paper and digital patient data on laptop with AI brain icon.

AI-Assisted Summary and Chronology, Powered by Clariva

For high-volume files, our medical record summarization and chronology work is accelerated by Clariva, our AI layer, with every output still reviewed by a human before it reaches you.

Insurance & Claims Support

For insurance carriers, TPAs, and claims teams.

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Medical Record Review for Claims Adjudication

  • Structured medical record review for insurance claims, built to give claims adjusters and examiners the clinical picture they need to make a decision, without wading through the full file themselves.
  • Reviewers organise each record by diagnosis, treatment course and causation, flagging pre-existing conditions, gaps in care and anything else that affects exposure, so the adjuster opens a file that is already decision-ready.
  • Runs on the same clinical review discipline behind our Medical Record Summarization & Review Services.

Medical Bill Review and Summary

  • Itemized medical bill review and summary, cross-checked against the treatment record so billing discrepancies surface before payout rather than after.
  • Every charge is matched to its CPT or ICD code, cross-referenced against the clinical record for date and service accuracy, and checked for duplicate billing or inflated charges.
  • An audit-ready summary your team can act on directly, not a raw invoice that still needs decoding. See our Medical Billing Summary Services.

Claims Data Entry & Processing

Claims data is captured, reviewed and processed accurately to keep every claim moving smoothly through the workflow. From entering claimant and policy details to validating information and updating claim records, this helps reduce errors, avoid processing delays and ensure files are ready for the next stage.

  • Claimant and policy data entered directly into your claims management system, in the format your workflow already expects
  • Field-level validation against source documents before anything is submitted downstream
  • Ongoing updates to claim records as new information, documents or correspondence arrives, so files stay current rather than going stale between touches
  • Exception flagging for missing fields, mismatched identifiers or incomplete packets, caught before they turn into processing delays

The result is a claims pipeline where files move on schedule instead of stalling on data that has to be re-checked later.

Data Foundation

Health Information & Data Services

This is the capability sitting underneath everything above it. Before a file can be reviewed, summarised or adjudicated, it has to exist as a clean, organised, trustworthy record, and that's rarely how it arrives. Law firms receive records from a dozen different providers in a dozen different formats. Carriers receive the same claim file from three different sources with three different page orders. Getting from that mess to a single, reliable version of the record is its own discipline, and it's the one both legal and insurance workflows depend on before anything downstream can happen.

Document indexing & digitization

Paper files, faxed records and scanned PDFs all get converted into indexed, searchable digital records, organised the way your team will actually use them rather than the order they happened to arrive in. That means consistent naming, provider and date tagging, and a structure that holds up whether one person is searching for the file or five people are working it at once.

  • OCR and quality checks run on every scanned or faxed page before it's indexed, so what gets filed is actually legible and complete
  • Consistent file naming and folder structure applied across every provider and source, not just the ones that arrived in good order
  • Provider, date and document-type tagging so records are searchable by the fields your team actually filters on, not just a generic file name
  • Version control when updated, corrected or supplemental pages arrive after the initial set, so nobody is working off an outdated copy

Once indexed, a four-hundred-page file pulled from five different providers reads as one organised record, not five separate piles stapled together.

Release of Information (ROI) processing

Every disclosure of a medical record carries a compliance obligation, and ROI processing is where that obligation either holds or doesn't. Our team manages the full release cycle: validating the authorization on file, confirming scope before anything goes out, and logging each disclosure so there's a clean audit trail if a regulator, patient or opposing counsel ever asks who received what and when.

The release cycle runs as the same sequence on every request:

  1. 01
    Request received
    The disclosure request and authorization are logged and checked for completeness before any work starts.
  2. 02
    Authorization validated
    Signatures, dates and patient identifiers are verified against the record on file.
  3. 03
    Scope confirmed
    Only the records actually covered by the authorization are pulled, nothing broader and nothing short.
  4. 04
    Disclosure logged and released
    The release goes out through the agreed channel, and the who, what and when are recorded for the audit trail.

Because every step is logged in order, the audit trail already exists before anyone has to ask for one.

Records de-duplication & Bates-numbering

Before a file reaches a reviewer or adjuster, duplicate pages are identified and removed, and the remaining records are Bates-numbered for easy reference. Since medical records are often collected from multiple providers and sources, the same document can appear several times in a case file. Removing those duplicates saves reviewers from going through the same pages repeatedly and makes it much easier to find and reference the right information.

Together, these steps help make the record retrieval, summarization and claims process faster. Clean, organised records mean less time spent sorting files and more time spent reviewing the information that actually matters.

Healthcare Call Center Services

For hospitals, clinics, and healthcare payers needing patient-facing support at scale.

Every healthcare organisation eventually hits the same wall: patient-facing volume grows faster than the front-office headcount that has to handle it. Calls queue, intake forms sit incomplete, and provider directories drift out of date the moment nobody's watching them full-time. 1Point1 runs this front-line layer as an extension of your team, built on the same omnichannel CX capability we apply across other regulated, high-trust industries, so patients get a consistent experience whether they call, message or go through your portal.

Patient Appointment Scheduling

Live agent support for scheduling, rescheduling and confirming patient appointments across specialties, integrated with your existing scheduling system. Agents work from your real-time calendar, not a static script, so double-bookings and no-show follow-ups get handled the way your front desk would handle them, just without the hold times.

Patient History Intake Services

Structured intake calls capture patient history accurately before the visit, reducing the time clinical staff spend on data collection once the patient is in the room. Every intake follows a consistent structure, so the information reaching your clinical team is complete and formatted the same way, call after call.

  • Medical history, current medications, allergies and reason for visit captured in a consistent format before the patient walks in
  • Bilingual agents available in English and Spanish
  • Intake templates adapted by specialty, not a generic form
  • Structured intake data delivered directly into your EHR or intake system

Provider Verification Services

Ongoing verification of provider credentials, network status and contact details on behalf of insurance payers, keeping provider directories accurate and audit-ready instead of drifting stale between review cycles. This runs as a continuous background process rather than an annual scramble.

  • Credential, license and network-status checks on a continuous cycle, not a once-a-year sweep
  • Direct outreach to confirm address, hours, accepted plans and contact details
  • Discrepancies flagged and corrected before a member runs into them
  • Bilingual outreach in English and Spanish, with LATAM and Mexican Spanish support

These three services draw on the same omnichannel, multilingual delivery model behind our broader CX Management Operations, adapted to the compliance bar healthcare requires: HIPAA-aligned handling on every call, and the same audit discipline that runs through the record and claims services above.

Explore Our Dedicated Healthcare Services

Medical Records Back Office & Retrieval Support
The full order-to-delivery workflow, including provider follow-up, multi-layer quality checks and real-time case tracking.
Learn More
Medical Chronology Services
Sequenced, source-referenced medical timelines built for legal cases and insurance claims.
Learn More
Medical Billing Summary Services
Itemized bill review cross-checked against the treatment record and delivered as an audit-ready summary.
Learn More
Medical Record Summarization & Review
The full scope of our clinical record review and summary work for law firms, IME/QME cases and insurance claims.
Learn More

Powered by Clariva: Our AI Layer

Clariva is our AI layer that pre-structures medical records before clinical review, cutting turnaround time significantly without cutting corners on accuracy.

How It Works

Step 01: You Send Files

Upload your medical records through our encrypted portal, in any volume and any format.

Step 02: AI Processing

Clariva reads, classifies and structures the records: deduplication, chronology building and indexing are handled automatically.

Step 03: Human Verification

An experienced reviewer checks every AI output before it goes out. Not a sample. Every file.

Step 04: Structured Output Delivered

You receive a clean, structured summary, chronology or processed record set, delivered securely and on schedule.

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Booking confirmation & notification workflows

Automate real-time communications including booking confirmations, pre-travel briefings, and post-stay feedback requests without manual intervention. Our CX architecture handles routine lifecycle updates efficiently, allowing human specialists to step in and add personalized care to high-touch milestone communications.

Refund processing & dispute resolution

Speed up payment reconciliations and claim handling through simplified, intelligent data verification. Our Hybrid AI resolves standard, policy-compliant refund requests instantly. When a dispute is complex or sensitive, it is escalated to senior specialists who use human judgment to protect your revenue and secure financial accuracy.

Compliance & fraud detection automation

Protect your revenue and sensitive traveler data with security systems built on strict regulatory standards. Advanced monitoring tools continuously check transactions for anomalies, while specialized human analysts focus on investigating sophisticated risks to keep your digital ecosystem safe.

Dynamic pricing support & revenue optimization

Boost your profitability by aligning guest communications with real-time market pricing and availability. Intelligent tools handle high-volume promotional messaging and standard upsell workflows automatically. This frees your human teams to focus on high-value, premium guest interactions that drive major conversions.

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