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Smart-UR delivers a Software as a Service (SaaS) technology that is doing for UR what fee schedules did for bill review -- streamlining the workflow and dramatically cutting the cost of operation. 

The Next Generation Technology...
 
Smart-UR technology is capable of targeting and resolving upwards of eighty percent of all UR requests that are typically approved in UR.  It can consistently and reliably process such requests in seconds and at a fraction of the cost of traditional UR.

Algorithms cover 600 of the most frequently used ICD9s in Workers' Compensation.  Targets medical requests that can be more effectively and efficiently handled by technology than human intervention -- this includes such requests as  diagnostics, physical medicine, consults, supplies... 

Smart-UR's robust modular design allows it to be fitted to the needs and purposes of any organization - Insurers, TPAs, UR Companies, Bill Review Companies or MPN/HCN.

Smart-UR's decisions can be integrated with Bill Review decisions.

Eliminates "Cookbook Medicine" approach to UR by addressing both medical necessity and cost-effectiveness in the algorithm design; rather than simply applying a single (cookbook) guideline.

The system is web-based and offers a transaction-based pricing plan. There are no immediate upfront technology investments or on-going maintenance and upgrade costs.

The system's data structure is totally transparent and instantly available to the client. 

  Smart-UR eliminates the significant inefficiencies in traditional methodologies so that UR can realize it's full role as a means to control overutilization of health care services in workers' compensation. 

  Smart-UR's data center is a SAS 70 Type II Certified center backed up with complete redundancy in power, HVAC, fire suppression, network connectivity and security.

 
 
 
Why Smart-UR
  With Smart-UR the total cost of your UR operation will drop from between 30% to 60%.  Also, you can integrate it with your claims and bill review software
 
 
 

With Smart-UR a claims or medical assistant can process 20  requests per hour. Thus your 1st level UR turnaround time drops to  minutes rather than days.

 
 
  The system successfully targets and certifies upwards of 80% all requests that are typically approved anyway.  The rest are sent to any URO you choose. Suddenly UR is uncomplicated and affordable.
 
 
 

With Smart-UR your higher-level professionals are able to focus on resolving  important claim and medical issues that are truly driving claim costs.

 
 
 

With Smart-UR concerns about Audits are a thing of the past.  All data is stored on a single platform and the data is instantly available. And, it's SAS 70 Type II Compliant!

 
 
 


For More Information call:
818-790-2392
 

 
 
 
 
 

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