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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