White Paper

How One Carrier Saved $2M by Automating Utilization Review Decisions

A large insurance carrier saved $2 million in one year by automating the link between utilization review and bill review, with Enlyte’s URDM solution.
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White Paper Summary

Manual processes were creating serious inefficiencies for a large insurance carrier. Adjusters tracked utilization review (UR) decisions by hand and cross-referenced them with incoming medical bills across multiple claims. Discover how they integrated URDM with SmartAdvisor to automate workflows, prevent overpayments, improve accuracy, and boost team productivity.

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To learn more from Enlyte, please visit their website.

Enlyte is the parent brand of Mitchell | Genex | Coventry, a leader in cost-containment technology, independent medical exams (IME), provider and specialty networks, case management services, pharmacy benefit and disability management. The three businesses have recently aligned their joint industry expertise and advanced technology solutions into a combined organization of nearly 6,000 associates committed to simplifying and optimizing property, casualty and disability claims processes and services.

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