Success Stories / Transforming Medical Document Processing with the AI System

Transforming Medical Document Processing with the AI System

A leading health-tech company serving legal and insurance teams partnered with Matoffo to replace manual review of complex medical records with an AWS-native, GenAI-powered platform.
AI document intelligenceAWS Cloud ArchitectureHealth-tech
13 min read

Executive Summary

A leading health-tech company serving legal and insurance teams partnered with Matoffo to replace manual review of complex medical records with an AWS-native, GenAI-powered platform. The solution securely ingests, OCRs (including handwriting), deduplicates, extracts, and generates standardized chronologies and summaries – built for HIPAA, CCPA, and SOC 2 environments. Results include 80%+ faster processing, 90%+ summary accuracy, and 100+ cases/day processed in parallel, enabling C-level leaders to scale throughput without proportional headcount or compliance risk.

Client Background

A fast-growing health-tech platform serving legal and insurance teams needed to turn chaotic medical records into clean, case-ready chronologies and summaries at scale. Their workloads spanned multiple jurisdictions and matter types, with case files often hundreds of pages long – scanned PDFs, mixed-quality images, and handwriting – creating slow, manual review cycles and inconsistent outputs. Enterprise buyers were pushing for stronger proof of security and compliance while expecting faster turnarounds and higher throughput. Before partnering with Matoffo, processing typically took hours per case and was hard to scale predictably across clients; the team wanted a secure, AWS-native path to standardize outputs and support 100+ concurrent cases per day without adding proportional headcount.

Client's Feedback

5.0
Review verified

"Working with Matoffo has transformed our business. From day one, their team demonstrated a deep understanding of our challenges and delivered a feature-rich solution that has exceeded our expectations. We highly recommend Matoffo to any organization looking to modernize their workflow with AI-driven solutions. We look forward to continuing our partnership with them as we grow and evolve in the insurance industry."

Co-Founder & CTO,

Customer Challenge

As the provider’s book of business grew, so did the operational stress on its document-heavy underwriting and claims processes. Manual extraction, validation, and re-keying created a domino effect of delays, costs, and customer dissatisfaction.

Key Business Challenges:

Performance Targets

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Prolonged Quote-to-Bind Cycle:

Application turnaround stretched from 5 – 15 days, delaying premium recognition and giving competitors a window to win the deal.
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Escalating Operating Costs:

Manual data entry and reconciliation consumed 50 %+ of underwriting staff hours, driving up acquisition cost per policy.
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Error-Driven Revenue Leakage:

Mis-keyed figures led to premium misquotes and overpaid claims, eroding margins and triggering costly policy endorsements.
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Customer Experience Risk:

Slow, error-prone workflows diminished broker confidence and jeopardized renewal rates among high-value clients.

These business pressures threatened the company’s ability to deliver fast, accurate coverage while protecting profitability in an increasingly competitive market.

Goals and Requirements

In response to slow reviews, inconsistent outputs, and rising compliance overhead, the client set measurable objectives to deliver a faster, more accurate, and enterprise-ready medical-document operation.

Performance Targets

  • Cut Turnaround Time:

    Compress hours-long reviews to minutes via automated intake → OCR → extraction → chronology → summary (~80%+ faster).

  • Boost Accuracy:

    Achieve ≥90% accuracy on AI-generated summaries and extractions across mixed-quality scans and handwriting, minimizing rework.

  • Increase Throughput:

    Reliably process 100+ cases/day in parallel without proportional headcount.

Financial Targets

  • Lower Manual Effort:

    Reduce high-touch data entry and reconciliation to free analysts for higher-value review, targeting material savings from labor reallocation and error remediation.

Scalability & Reliability

  • Handle Volume Spikes:

    Design an AWS-native pipeline (Textract, Bedrock, Step Functions, Lambda, S3, RDS) that scales horizontally with automated retries/DLQs and no performance degradation.

  • Enterprise Resilience:

    Aim for high availability with multi-AZ services, backups, and rapid recovery to maintain predictable SLAs.

By meeting these objectives, the client expects to unlock rapid growth, elevate customer satisfaction, and future-proof operations against evolving compliance and volume demands.

The Solution

To eliminate manual review and standardize outputs, Matoffo delivered a cloud-native, serverless AI platform on AWS that automates intake → OCR → extraction → chronology → synopsis → final report—built for HIPAA/SOC 2 environments and aligned to your GenAI case-study structure.

  1. 1

    Secure Ingestion & Centralization

    A unified API and intake layer receives scans/PDFs/office files, validates payloads, and lands them in Amazon S3. Metadata tagging, checksum validation, and duplicate checks prepare documents for processing while preserving a full audit trail.
  2. 2

    Intelligent Document Processing (OCR + LLM)

    OCR: Amazon Textract handles both printed and handwritten content. LLM extraction & narratives: Claude 3.5 (Sonnet/Haiku) via Amazon Bedrock performs field extraction, chronology building, and summarization. Deduplication & similarity: Bedrock Titan Embeddings score cross-document similarity to suppress repeats and cluster related pages. Confidence thresholds and exception rules route edge cases to review, reducing rework and stabilizing quality.
  3. 3

    Orchestration & Parallelism

    AWS Step Functions coordinates modular “docs services” (split, extract, chronology, billing, synopsis, compile), with AWS Lambda executing stateless tasks at scale. Concurrency policies enable 100+ concurrent case pipelines without resource contention; retries and DLQs protect throughput during spikes.
  4. 4

    Application & Data Layer

    A secure web app (PHP 8+ / CodeIgniter 4 with Shield auth) provides case submission, status tracking, and report download. Structured outputs and audit metadata persist in Amazon RDS (Postgres) for downstream integrations and compliance evidence; final deliverables are compiled to standardized PDFs.
  5. 5

    Security, Compliance & Governance by Design

    Transport security (TLS 1.2+), SSE-KMS encryption, least-privilege IAM, VPC segmentation, and continuous monitoring with CloudTrail, GuardDuty, Security Hub. Terraform codifies environments for consistent control evidence and rapid, safe promotion across stages—supporting HIPAA, CCPA, and SOC 2 expectations.

Results and Impact

Before the solution:

Semi-manual processing took
hours per case, outputs varied in quality with elevated compliance risk, and scaling across clients/jurisdictions required proportional headcount.

After the solution:

End-to-end processing dropped to
minutes per case; AI-generated summaries consistently achieve 90%+ accuracy; structured PDF reports are compiled and delivered automatically; the platform sustains 100+ concurrent processing tasks; and the operation achieved HIPAA and SOC 2 Type I alignment.

Quantitative outcomes

  • ~80% faster turnaround (hours → minutes).

  • ≥90% accuracy on summaries/extractions across mixed-quality scans and handwriting.

  • 100+ concurrent tasks/cases processed without performance degradation.

Qualitative outcomes

  • Standardized, case-ready deliverables reduce rework and variance across teams.

  • Audit-ready operations (encryption, least-privilege IAM, traceability) accelerate enterprise reviews under HIPAA / SOC 2 Type I; CCPA per client directive.

Key Learnings

  • Serverless architecture enables scale

    Building on AWS Lambda with Amazon Bedrock eliminated server management and let us scale spikes in workload seamlessly.

  • LLM-driven chronologies add real value

    Claude 3.5 models produced clearer timelines of medical events than regex/rules, improving narrative quality and downstream decision speed.

  • Modularization accelerates debugging

    Separating OCR, chronology, billing extraction, synopsis, and report assembly into distinct services made issue isolation and iteration much faster.

  • Security must be embedded

    Designing with least-privilege IAM, SSE-KMS encryption, VPC isolation, and continuous monitoring made HIPAA / SOC 2 Type I alignment straightforward.

Next Steps

Following the successful deployment, the client will focus on extending functionality, deepening automation, and hardening scale and resilience in three targeted tracks.

  1. 1

    Implement new AI features for faster reporting & summarization

    Expand LLM-powered chronology and summarization with section-aware outputs, confidence scoring, inline source citations, and automated gap/contradiction checks - reducing manual edits and accelerating final report assembly.
  2. 2

    Add user-configurable templates for specialized legal reporting

    Introduce a template builder with jurisdiction- and client-specific sections, branding, redaction rules, and export profiles (PDF/Word/JSON) so legal teams receive case-ready deliverables without downstream formatting work.
  3. 3

    Increase scalability and disaster-recovery readiness (app + infra)

    Enhance concurrency controls and autoscaling for >100 parallel tasks; adopt multi-AZ databases, cross-region replication, and documented DR runbooks to strengthen RPO/RTO objectives and ensure continuity under peak loads or outages.

Conclusion

The successful deployment of a Generative AI–powered underwriting and claims automation platform marked a pivotal moment in the client’s digital transformation journey. What began as a response to operational bottlenecks evolved into a scalable, cloud-native solution that delivers faster, more accurate decisions – with fewer manual touchpoints and greater transparency.

By eliminating document chaos, embedding business-aligned automation, and enabling real-time decision-making, the platform has redefined how policies are issued and claims are processed. Beyond efficiency gains, the solution has elevated customer experience, improved compliance readiness, and created a replicable framework for innovation across other business areas.

This transformation not only positions the client as a forward-thinking player in the insurance space but also lays the foundation for new products, partners, and market expansion – proving that when AI meets execution, operational excellence becomes a competitive advantage.

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