Coral Springs, FL – Claim Clarity, a technology company for medical benefit management in workers’ compensation, recently announced that it has launched a fully automated claim management and utilization review (UR) solution, powered by artificial intelligence.
The new tool helps workers’ compensation (WC) insurance claim professionals, third-party administrators, and medical management organizations accelerate the claims process, reduce costs and improve treatment outcomes for injured workers to successfully reintegrate them back into the workforce.
Currently injured workers experience delays in treatment as stakeholders navigate a complex, slow, and mostly manual system that pulls data from multiple sources with inconsistent terminology. Claim Clarity automates the review and authorization process, offering claims and UR professionals access to a single repository of all available state and evidence-based treatment guidelines to reduce critical processing time.
The solution also translates complex medical injury and treatment data into standardized terminology to enable dependable reviews. It utilizes the power of AI to analyze millions of historical claim cases and apply precedent logic, to review, and authorize claims with accuracy. The tool improves claim outcomes with optimum care and return to work timelines, while saving claims and UR professionals significant time and costs.
Claim Clarity has partnered with ODG by MCG, one of the two evidence-based solutions providers in the United States, to help its customers make informed decisions with its innovative technology.
Claim Clarity Founder and CEO Jamie LaPaglia said, “Ultimately, our goal is to help injured workers. To achieve that, we provide workers compensation professionals with consolidated and up-to-date information to accurately define injuries, find the appropriate treatments, and provide actionable insights on recovery and return to work timelines.”
Claim Clarity’s AI solution provides untapped opportunities for payers, providers, administrators, and government organizations to transform their data into actionable insights. With its technology platform, Claim Clarity provides strategic consulting and technology solutions customized to the unique needs of businesses to help grow their operations.
Source: Claim Clarity