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 Creates Partner Bridge With Universal SmartComp
March 26, 2012—Mitchell Workers' Compensation Solutions adds leading physical medicine claims management program to medical
bill review platform to contain costs and improve patient outcomes…
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