Improve the Accuracy of Bills for Workers’ Compensation Claims
Streamline the bill review and management process to save time and costs. Automate and accelerate all aspects of the process for better accuracy to improve team effectiveness, while unlocking significant savings.
Contact for a consultationAutomated Authorization from a Single Source of All Guidelines
Claim Clarity performs an automated review of all state-mandated treatment guidelines, nationally recognized evidence-based guidelines, and client-defined rules to provide instant authorization on an easy-to-use interface.
Precise Bills with Accurate Treatment Mapping
Navigating through the complex maze of CPT and ICD codes can be daunting and time-consuming. Our platform has integrated a comprehensive database of all evidence-based guidelines, ensuring consistent and accurate treatment mapping to specific injury conditions.
By semantically modeling all CPT and ICD codes, Claim Clarity compares provider medical bills against code sets to instantly approve or deny payments, capturing any supplementary services. Accurately mapping treatments to the right injury conditions drastically reduces billing errors and ensures precise pricing of treatments, while optimizing reserve budgets.
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AI Assistant for Better Cost Containment
Claim Clarity is built on an artificial intelligence engine that learns from millions of completed workers’ compensation case data as precedent. AI leverages this data intelligence to provide authorization recommendations, and offer treatment guidance. Smart, dynamic algorithms assist you with decisions based on case precedent, to help you control costs at the source, to eliminate errors and prevent unnecessary medical treatment and bills.
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Claim Clarity is a Trusted Partner of ODG
Why Claim Clarity
- Lower Overhead Costs: Improving billing accuracy significantly reduces the costs associated with overpayments and billing disputes.
- Time Efficiency: We streamline your bill review process, saving valuable time and resources.
- Better Compliance: Our solution helps you stay compliant with industry standards and regulations effortlessly.
- Enhanced Collaboration: We facilitate better communication and collaboration between payors and providers.
- Data Security: We prioritize the security of your data with measures embedded into our system.
