Cascaded Intelligence for High-Speed Medical Document Processing

Authors

  • Ato Kasymov Zentist, Inc., San Francisco, California, United States Author
  • Fedor Krasnov Zentist, Inc., San Francisco, California, United States Author

DOI:

https://doi.org/10.55578/amsr.2607.011

Keywords:

Information Extraction, Document AI, Cascaded Intelligence, Revenue Cycle Management, Financial Automation, Hybrid Neural Models

Abstract

This paper presents a robust, high-throughput architectural framework for automated information extraction from Explanation of Benefits (EOB) documents. In the medical billing industry, the extreme variability of document formats poses a significant challenge for traditional automation. Our research demonstrates that conventional approaches, such as heuristic-based systems and prompt-based Large Language Model (LLM) extraction, fail to achieve the precision required for automated financial posting due to spatial misalignments and neural hallucinations. To address these limitations, we propose a hybrid cascaded pipeline that integrates specialized models for page splitting, layout classification, and field-specific normalization. Furthermore, we implement a multi-layer financial verification engine to ensure arithmetic integrity. The system is deployed in a production environment, processing over 300,000 documents per month, achieving a 95.8% first-pass resolution rate (FPRR) and reducing charge lag by 81%.

References

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Published

2026-07-01

Data Availability Statement

The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.

Issue

Section

Articles

How to Cite

Cascaded Intelligence for High-Speed Medical Document Processing. (2026). Advances in Medical Sciences and Research, 1(3), 171-178. https://doi.org/10.55578/amsr.2607.011