Medical Claim Review

An insurer’s medical review requires considerable documentation and review of pertinent data by multiple parties during the underwriting and even the claims resolution process. An electronic document management system facilitates digital capture of paper, voice and digital files, emails, faxes, images, X-rays, and other documentation, making instant and secure access a reality without the documents having to leave the office. Quick evaluation of the medical necessity of services and supplies, benefit verification, and claims that exceed usual and customary guidelines all lead to faster settlement. Simultaneous review of materials and images, approval and signing of documents, and other actions are made easy with automated workflow, enabling insurers to make decisions in a fraction of the time required previously.

DocFinity enables you to centralize all of your business-critical information, making it securely and readily available over the Web by either importing data into a central repository or pointing to its digital location, depending on your preference. Online forms and barcode recognition software ensure greater data accuracy at the source, while eliminating paper. Digital workflow increases the value of the digital information exponentially, enabling you to standardize processes, ensure they are complete, and expedite processing, while allowing seamless integration with your other applications to help you achieve more. Compliance is easier to manage and demonstrate through built-in administrative security and robust reporting tools that help you to monitor access.

If you are searching for a way to facilitate your medical review process and provide better, faster service, we can help. Ask us how.

If you would like someone to contact you about how DocFinity helps insurers expedite the medical review process, please contact us or email us at info@docfinity.com.