Malvern, PA – One Call Medical (OCM), the nation’s leading partner in providing specialized services that lead to faster, more efficient and more cost-effective resolution of claims, has joined the Alliance Partner Program of Acrometis, the expert in automated claims processing platforms.
Acrometis’ Alliance Partner network targets the complex challenges of today’s workers’ compensation companies as they become more automated. Payers have a critical need to contain medical spend, reduce costs, and exchange files seamlessly with internal systems, managed care and bill review partners. To that end, clients are seeking more tightly integrated systems, workflows and business processes as a way to meet faster time frames, improve outcomes and reduce operating costs over the lifecycle of a claim.
“One Call’s clients want to have more powerful and integrated systems, workflows and processes,” said Bob Zeccardi, president One Call Medical Specialty Programs Group. “Existing and prospective clients can now receive need-for-service alerts and automatic referrals, through One Call’s very tight integration with CLAIMExpert®. The system also identifies and routes Utilization Review determinations so they are scheduled with an OCM-contracted provider, and eliminates leakage by identifying and routing bills appropriately all within CLAIMExpert.”
Acrometis is adopting a broad partnering strategy spanning the workers’ compensation value chain. The company’s expanding Alliance Partner ecosystem includes strategic relationships with the leading providers of managed care, pharmacy, imaging, durable medical equipment, investigative, legal, utilization review, and Preferred Provider Organizations.
“In the past, an insurer, third party administrator or self-insured might view the processing of claims and specialized services such as high-end diagnostic procedures, dental programs, transportation, and language services as ‘carved out islands.’ Now, clients talk about their holistic technical platforms and how content must move seamlessly across it. This makes complex integration even more challenging, especially when you consider the need for incorporating the decisions of external partners,” said Jerry Poole, Acrometis’ president and COO. “Acrometis’ platform provides the backbone for these workers’ comp workflow processes, tightly integrating into the overall technology ecosystem. This tight coupling enables the achievement of the full value of managed care decisions.”
Source: OCM/Acrometis/King Knight