Extract data from disability claim forms
Unstract reads disability claim forms, from the employee's and employer's statements to the physician's certification, faxed or handwritten, and sends a checked claim record to your claims or absence management system.
SUMMIT RIDGE LIFE · DISABILITY CLAIMS · PO BOX 2280, BOISE, ID
RTW est. 12/14 — recheck after PT on 11/30
FORM STD-100 (REV 03/2025) · PAGE 1 OF 2
{ "form": "STD-100", "claimant": "Okafor, Nadia L", "ssn": "***-**-6612", "employer": "Brightwater Logistics Inc", "date_last_worked": "10/09/2026", "weekly_earnings": 1240, "diagnosis_icd10": "S46.011A", "expected_rtw": "12/14/2026", "physician": "Priya Sandhu, MD", "confidence": 0.96}
Trusted by insurance teams around the globe
A disability claim reaches you in three parts, from three people
The employee, the employer and the doctor each fill in their own section, on their own schedule. The claims desk receives the pieces like this.
The physician's statement, faxed from the clinic's front desk
The insurer's own form, or the DOL certification the doctor already had
Return-to-work dates written in, crossed out and moved back
Statements, pay records and office notes merged into one upload
Earnings histories and each clinic's own evaluation form
Examiners match the three parts by hand and key every diagnosis and wage figure, so a claimant waits on paperwork before the first benefit payment.
Unstract pulls the parts together, reads each one, checks the diagnosis, dates and earnings against the policy and each other, and opens the claim with the record ready.
Read, extract and route disability claims on one platform
Three products that work alone or stacked: get the claim as text, turn it into fields, run the intake around it. Begin with the layer your claims or leave team needs most.
Read each section of a disability claim form, handwriting included
LLMWhisperer returns the full text of the employee's statement, the employer's statement and the physician's section with the boxes in place. Ticked boxes come through marked or blank, and a doctor's written restrictions sit beside the printed labels they answer, even on a third-generation fax.
Send the text to your own LLM, or make parsing the first step of a claim workflow.
Learn more about LLMWhispererTurn disability claim forms into one checked claim record
Name the claimant, employment, earnings and medical fields you need, and every claim returns the same JSON, whether the doctor used your form, a WH-380-E or a clinic's own evaluation sheet. Certification of health care provider data extraction follows the same schema, so an FMLA certification and a disability claim feed one record. Values are checked as they come out: an ICD-10 code that doesn't match the written diagnosis, or a date last worked after the onset date, arrives flagged with the reason.
Call it as an API from your intake portal, run it as an ETL pipeline from a fax folder, or make it one step in a larger claims process.
Learn more about Document StudioRun disability claims processing from first statement to open claim
Describe your disability claim intake in plain English and Flow's agents build the workflow: statements picked up from the fax line, email and the employer portal, matched to one claimant, read, then checked for coverage on the date last worked, earnings against payroll and a diagnosis that supports the restrictions. Complete claims open in your claims or absence management system with every statement attached. You approve the workflow once, and it runs the same steps on every claim.
Choose where a person steps in: coverage in doubt, a fraud flag, a benefit above an examiner's authority, a field read with low confidence. Only those claims pause, and the examiner sees the reason.
Learn more about FlowStart with the extraction. Add the claim workflow when you're ready.
Start for free to parse and extract your disability claim forms today. Automating the full claim intake begins with a consultation.
Every statement a disability or leave claim needs
Documents
- Applications for disability insurance benefits
- Short-term disability claim forms
- Long-term disability claim forms
- Employee's statements
- Claim for disability insurance employer's statements
- Attending physician's statements
- Certifications of health care provider
- DOL WH-380-E (employee's serious health condition)
- DOL WH-380-F (family member's serious health condition)
- Disability evaluation forms
- State disability insurance claim forms
- Return-to-work and fitness-for-duty notes
- Payroll and earnings histories
- Job descriptions and physical demands analyses
- Social Security disability award letters
- Authorizations to release medical information
Fields captured
For the teams that decide disability and leave claims
Each examiner starts from a claim with all three statements already read and the diagnosis, earnings and dates checked, so benefit decisions turn on the medical evidence instead of data entry.
Claims for many employer groups come out in one record, whichever carrier's form or clinic's evaluation sheet the claimant's doctor filled in.
Employer statements and earnings histories read and sent on the day HR receives them, with job demands and hours captured for the claim.
WH-380 certifications and disability claims for the same absence read together, so leave and benefit decisions agree on dates and frequency.
Claimants paid sooner, examiners keying less
Protected like the medical records they are
A disability claim carries a diagnosis and treatment history, a Social Security number and a paycheck. Together they expose a person's health, identity and income at once, which is why this information is handled to HIPAA standards.
- Encrypted in transit and at rest, end to end.
- Claim documents you process are never used to train models.
- Access by role and claim type, so medical sections reach only the examiners and nurse reviewers cleared to read them.
- You set retention: statements and medical records are deleted on your schedule.
- Self-hosted deployment for insurers, TPAs and absence management providers that keep health information inside their own environment.
What disability claims teams ask before they start
Treat the form as three documents. LLMWhisperer parses the employee, employer and physician sections with their layout intact, and Document Studio returns the fields you defined for each, so a paper form, a clinic's evaluation sheet and an online submission all produce the same claim record.
Yes. Handwriting is read alongside the printed labels, so a restriction like "no lifting over 10 lb" or a revised return-to-work date lands in the right field. A value that can't be read with certainty is held for an examiner with the image beside it.
Yes. WH-380 form OCR keeps both pages of the certification readable, including the leave frequency and duration grid that doctors fill in by hand. The fields map to the same schema as your disability claims, so leave and benefit records line up.
Yes. Document Studio deploys an endpoint for each document type: send an application or a physician's statement and receive JSON. To work from a fax folder or bucket, run the same extraction as an ETL pipeline.
Yes. Social Security award letters, state disability payment notices and workers' compensation statements arrive with many claims. Each is classified, then read for the benefit amount and dates, so other-income offsets are calculated from the letter rather than retyped.
Each statement is matched to the claimant by name, SSN, employer and policy as it arrives. The claim waits until the parts it needs are in, and the record shows which statement is still outstanding.
It checks what is on paper: the ICD-10 code against the written diagnosis, the restrictions against the job's physical demands, and the dates against each other. Mismatches go to a nurse reviewer or examiner with the reason. Medical judgement stays with your team.
A date that was crossed out, written over or left blank is flagged rather than guessed. The examiner sees both readings and the image, and the decision is recorded on the claim.
No. Unstract sits in front of the system you run today. Claims are read, checked and delivered to your claims or absence management system through its API or a file drop, in the format it already accepts.
Unstract is SOC 2, ISO 27001, GDPR and HIPAA compliant. Claim documents are encrypted in transit and at rest, never used for model training, and kept only as long as you choose. Teams that need health information to stay in-house can self-host; see the Trust Center.
In a consultation we set the intake up around your forms, your checks and your claims system, and most teams see a first live run within days. To test the extraction yourself, start for free and upload one physician's statement.
Bring a stack of disability claims to the consultation
Employee and employer statements, physician's certifications, WH-380s and evaluation forms, faxed and handwritten ones too. We run them live and walk through every field, every check and every claim that pauses.