The client is one of the leading health and care support company which delivers a unique, total-care solution mitigating risk, controlling costs and achieving greater operational efficiencies across the injured worker continuum and throughout the entire lifecycle of the claim.
Media Systems has been engaged with its different units in providing IT solutions for their processes and helping them to develop innovative and value added products.
Email Authorization process was a project migrated from DotNetNuke (DNN) framework to Microsoft Office SharePoint Server (MOSS). The new framework components helped the client to offer more flexible, secure, and customizable options for their users, speeding acceptance and shortening implementation timelines.
About the client
One of the leading US based health and care support company which offers a powerful web-based, real time, claim - management and reporting system specifically designed for the unique requirements of the workers compensation market.
This reporting system is a secure platform, accessed through a single sign-on, used by claims professionals to manage pharmacy, medical services and equipment, and settlement-related transactions.
One of the leading US based health and care support companies, which offers a powerful web-based, real time, claim - management and reporting system specifically designed for the unique requirements of the workers compensation market.
This reporting system is a secure platform, accessed through a single sign-on, used by claims professionals to manage pharmacy, medical services and equipment, and settlement-related transactions.
The system provides information about each injured workers case and transaction history, an easy way to review and approve pharmacy, durable medical equipment and other service requests, and detailed reporting from the initial point of care until the claim is closed. This enhances transactional efficiency, drives better outcomes, and reduces the administrative burden of managing workers compensation claims delivering cost containment across the claim lifecycle.
Business Need
The client needed a new Email authorization process that must give their users the ability to approve or deny the existing medication, allow or block the transaction and ancillary service orders via email without logging into the website.
The existing system was time consuming while the Email authorization process would give the users an immediate email notification regarding their action which would help them to act accordingly. With increasing case loads and higher medical expenditures, adjusters and claims handlers require processes and applications that not only help manage their claims and referrals, but also to help guide them with complex clinical decisions, along with in-depth claimant reporting and analytics.
This also helps to guide them with complex clinical decisions, along with in-depth claimant reporting and analytics, so that their claimants receive the best therapeutic value at the lowest possible cost. The system must help the adjusters to accomplish this by:
- Providing real-time referral decision processes through an intuitive, web-based application.
- Integrating clients vast clinical expertise throughout the claimant lifecycle, so that adjusters are empowered to make the right decisions every time.
- Providing detailed claimant informatics at the click of a mouse.