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Partner Brief: Cofinity

—December 04, 2014
Partner Brief: Cofinity

Executive Summary: 

Mitchell has partnered with Cofinity (an Aetna Company) to provide enhanced capabilities for the management of healthcare expenses related to property casualty bodily injury claims. 

Value:

The Cofinity partnership enables Mitchell clients to offer their injured party customers many Aetna health care products and services that were previously available only to Aetna customers such as: 

  • National, Regional and Specialty Medical Networks 
  • Out of Network Solutions 
  • Dedicated Customer Service Team 

 

Cofinity’s comprehensive network, coupled with the operational efficiencies gained from Mitchell DecisionPoint®, assists in full benefits capture on all eligible claims while enabling consistent, cost effective, service sensitive and efficient claims handling procedures. 

Features: 

For Mitchell Auto Casualty Solutions clients, the seamless combination of Cofinity network solutions and the advanced capabilities of Mitchell DecisionPoint: 

  • Enables injured party access to Cofinity’s Network; one of the leading voluntary provider networks in the United States today— providing quality service to more than 360 health plans and insurance companies representing more than 1 million members; 
  • Reduces monetary expenditure for medical management benefits by accessing Cofinity’s contracted provider discounts without loss of benefit quality: – translates into “extension of policy limit” benefit for injured party; – minimizes injured party out-of-pocket medical expenses; 
  • Empowers maximum appropriate use of straight through processing for medical benefit management billings; • Accelerates claims adjuster efficiency due to removal of “receive, review, reimburse” process; 
  • Delivers additional claims control around potential “multiple claims” and duplicate billings; 
  • Provides daily electronic updates to help ensure medical benefits are extended only on appropriate claims and maintained within policy limits; 
  • Provides full integration with DecisionPoint ASP and Service Center solutions; 
  • Delivers a seamless integration with minimal customer IT resources required for implementation; and 
  • Provides a fully integrated and modern medical bill review technology solution that is compliant with standard HIPAA and ANSI X12 data transmission requirements.

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