Results = Success
2009
14M
10.2M
100%
100%
BaseLine version 1.0 is deployed as a proof of concept.
Medical requests processed since 2009
MedAuth requests received automatic compensabiiity review eliminating need for adjuster review
Automated integration of med auth/UR decisions/3rd party referrals with bill review
Compliance with regulatory & business rules via tech solutions
12.5M
20%
90%
100%
100%
Reduction in referrals requiring manual bill validation
Reduction in claim to claim medical costs over 8 years
Reduction in average request processing time
Near real time delivery of key med-auth performance metrics
Near real time delivery of 3rd party referrals
98%
Penetration rate with preferred 3rd party vendor partners
99%
Reduction reduction in adjuster time spent processing 3rd party referrals
100%
Reduction in time spend producing audit trails
95%
Reduction of professional time spend producing performance reports
90%
Reduction in time tracking and bill/invoice production
85%
93%
Reduction of med-auth intake processing time
Reduction of time for Adjuster's med-auth compenseability review
85%
70%
Reduction in average nurse review of med-auth requests
Reduction in staff time for med-auth letter generation
70%
Reduction in bills requiring adjuster review