Managing claims with efficiency and accuracy
In the fast-paced world of workers’ compensation, multiple stakeholders work through decentralized and manual processes that lead to inefficiencies. Misaligned systems, delays in medical approvals, and misinformed decisions can have devastating impacts on injured workers. The inherent inefficiencies in workers’ compensation can cause prolonged suffering for injured workers and increased costs for stakeholders.
The Claim Clarity difference
Claim Clarity is built on a mission to solve the inefficiencies within the workers’ compensation system and transform how medical care is approved. The solution is designed to integrate data to every phase throughout the claim continuum to inform decisions with actionable insights. By providing the industry’s first ever single source of truth for harmonized worker’s’ compensation information, empowering stakeholders to make accurate decisions, in less time, using relevant and consistent data.
What are the key features of Claim Clarity?
Claim Clarity offers an AI-powered solution that empower stakeholders with meaningful and actionable intelligence using easily accessible tools that require no training or major investments to implement. Our pioneering approach takes any search terms and transforms them into powerful tools by leveraging AI to extract key insights from the numerous databases and industry information sources and our Semantic Modeling Engine (SME) which aligns these insights to effectively return the best search results, improving outcomes and significantly lowering costs while eliminating the friction and delays commonly encountered with the current systems.
- Instant Approval for Over Half of Medical Requests
- Embedded AI analyzes data-driven insights from 15 million closed claims.
- The system utilizes evidence-based guidelines from over 10,000 treatment protocols.
- Promotes safe and effective treatments instantly.
- Streamlined Manual Review Process
- Automates prior authorization and utilization review requests.
- Applies state-specific jurisdictional requirements seamlessly.
- Uses AI to match search terms with relevant guidelines instantly.
- User-Friendly and Empowering
- Simplifies navigation through complex medical guidelines.
- Reduces the need for extensive training.
- Empowers users to make better-informed decisions quickly.
- Adaptable to Jurisdictional Requirements:
- Our AI-driven approach ensures compliance with state-specific rules, reducing the complexity and frustration for users
What are the key benefits of Claim Clarity?
- Reduce Time: By automating over half of the medical care approvals, Claim Clarity minimizes the time and resources spent on manual reviews.
- Decrease Costs: More accurate decisions prevent unnecessary treatments, reduce return-to-work timelines, saving companies, payors, providers money
- Improve Medical Outcomes: The data insights from historic case outcomes, and treatment guidelines ensure that all approved treatments are both safe and effective
- Increase Stakeholder Satisfaction: Streamlining the approval process means quicker, more accurate decisions, leading to higher satisfaction among injured workers, healthcare providers, and insurance companies
Why choose Claim Clarity?
In an industry where time is critical and accuracy is paramount, Claim Clarity delivers both. Led by industry veterans with decades of hands-on experience, Claim Clarity has developed a solution that automates workers’ compensation for greater efficiency, empowered decision making through data-based insights, and optimum business and medical outcomes.
Get started with Claim Clarity today
Transform your medical approval process with Claim Clarity. Contact us for a demo and see firsthand how your organization and the injured workers you serve benefit from an innovative solution.
