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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

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