SmartAdvisor - medical bill review & workers compensation claims management software

UR Decision Manager™


UR Decision Manager™ Automated Matching
Increases Straight-Through Processing

UR Decision Manager™ replaces the lengthy and sometimes inaccurate manual comparison process by automatically matching UR decisions within the bill review process. SmartAdvisor UR Decision Manager™ electronically integrates utilization review (UR) decisions within the bill review process—fully automating the application of UR decisions to help you improve the financial and productivity investment made in Utilization Review:

  • Reduce the losses that occur when treatments are paid for but were not authorized by UR
  • Improve operational efficiency by eliminating time-consuming and labor-intensive manual matching processes
  • Fully realize the investment that is made in setting up UR programs

With the automated feed of UR decisions and the automated matching process, payers can auto-adjudicate bills and individual services. This dual automation can produce significant improvements in operational and financial efficiency.

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Press

Mitchell Releases 2013 Insurance Industry Predictions

February 26, 2013
Mitchell releases predictions for trends related to cloud computing and big data analytics that could affect the insurance industry throughout 2013
Full Release >>

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Articles

Improving Claims Management With Advanced Integration

August 22, 2014
Advanced integration is a large, complex process that involves core claims management systems and expert point solutions. Core claim systems and expert point solutions historically have been loosely integrated…
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