Our solutions help Self-Insured and Self-Administered organizations overcome obstacles and achieve their goals.
Browse our Solutions for Self-Insured/Self-Administered Organizations
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CLAIMExpert
Looking to maximize efficiency and reduce manual processes? Using a powerful rules engine our expert claims processing platform streamlines your workflow and eases adjuster workload.Click to Learn More »
ODG Scoring
ODG’s evidence-based guidelines are embedded into our systems, giving you a 360° view of your claims in one place for the most accurate claims monitoring.Click to Learn More »
Relatedness/Rarity Screening and UR Enforcement
Our system scans incoming bills for relatedness, rarity or medical necessity, flagging adjusters when it finds an inconsistency.Click to Learn More »
Referral Tool
Our system automatically pre-populates and sends referral requests to negotiated partners- saving time, reducing errors and maximizing network penetration.Click to Learn More »
PACKETExpert
The industry’s premier automatic packet creation tool assembles packets while identifying and eliminating duplicates within. Before final delivery packets undergo manual review and validation.Click to Learn More »
Bill Review and Re-Pricing
Our bill review service ensures that all bills are valid and reduces charges to proper fee schedule or UCR, providing vast savings on bill review.Click to Learn More »
Reporting and Analytics
Gain valuable insight from your claims data with our comprehensive dashboard reporting services. Real-time updates and drill down capabilities let you focus your resources where they are most needed.Click to Learn More »