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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

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Articles

From Airbnb to Uber: How Peer to Peer Transactions Are Transforming the Insurance Industry

If you’ve ever taken Uber or stayed in an Airbnb, then you’ve participated in the peer-to-peer economy.

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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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