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Capstone® Decision Manager

Consistent, accurate, and controllable bill review decisions

Capstone Decision ManagerThe Capstone Decision Manager seamlessly integrates with SmartAdvisor to let you create, implement and adjust your own custom business rules into your bill review process. It completely automates the review and re-pricing of a substantial percentage of all medical bills so only the most complex bills are routed for professional review.

With Capstone’s intelligent decision-making power, you can:

  • Realize greater flexibility, control, and accuracy over your review process.
  • Automate your staff’s knowledgebase to deliver consistent, quality results, no matter which reviewer is handling the bill.
  • Automatically control where auditors, surgical specialists, hospital reviewers, network partners, and bill negotiation experts should route bills for professional review.

Press

Mitchell International Presenting End-to-End Claims Insight at America’s Claims Events

Product Management Directors Norman Tyrrell and Chris Bainer will share their insights about the value of integrating actionable d...

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Articles

5 Ways to Use Visual Reporting Effectively to Improve Claim Outcomes

Insurance carriers who aren’t looking at visual performance reports on a regular basis could be missing out on major opportu...

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Webinars

Senate Bill 863 Webinar

Senate Bill No. 863 was lauded as a major reform of California’s $16 billion Workers’ Compensation system. In this sho...

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