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The
ODG product line is available from various vendor partners
integrated within the latest in cutting-edge case & claims management
software and decision-support tools:
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American
Technical Services
"American Technical Services has been in the forefront of the
Risk Management Industry well over a decade, engineering solutions for
corporations and organizations with diverse backgrounds and
multinational exposures. The ATS Solutions are sought after by private
and public-sector entities that invest in insurance as an instrument
of protection against certain types of risk, and by third-party
administrators. ATS maintains its position as a premier
developer and provider of Risk Management Information Systems and
Services."
DataCare
Headquartered in San Jose California, DataCare's software
technology supports evidence-based treatment decisions with
defensible supporting documentation for workers' compensation
claims. DataCare’s Ahshay electronic workplace was developed in
close concert with our sister firm,
EK Health Services, which is a leading California managed-care
company. Fortune 500 corporations, third party administrators, and
insurance groups all rely on our technology to increase productivity
and lower service costs. DataCare supports the highly specialized
workflows for workers' compensation case management, utilization
review, and bill audits. These workflows normally span many
different organizations and include both internal adjusters and
out-of-house experts.
Decision UR
"Utilization Review (UR) can be one of the most effective
cost containment tools we have in Workers’ Compensation.
Unfortunately, the cost of UR can outweigh the benefits. DecisionUR
(DUR) can offer you the most sophisticated, managed and cost
effective UR software solution currently available in the industry.
DecisionUR (DUR) will automate the application of specific, proven
medical protocols, based on ICD9 codes in a consistent and timely
manner. DUR uses an automated review system that will decrease the
cost and timeframe associated with approving the most common
requests received. Although all requests are overseen by our Medical
Director, DUR can automatically forward files to the URO of your
choice for further peer review."
Effective Health Systems
"Welcome to Effective Health Systems. We focus on game-changing
technologies for the workers compensation medical management
marketplace. Effective Health Systems’ BaseLine technology is both a
Platform as a Service (PaaS) and a Software as a Service (SaaS). It
connects disparate technologies and systems so they can communicate and
work together effectively. It also delivers several easily integrated
software applications that increase the efficiency and effectiveness of
the existing systems. Spend Less, do more, manage better…that’s a tough
demand. But, that’s what BaseLine delivers. BaseLine is designed to fit
right into your workflow to automatically handle all the necessary but
routine tasks that follow a decision made by a professional. The result?
Professionals move from being task-driven managers to decision-centered
managers. They become more productive and effective at achieving
positive outcomes. What’s more, BaseLine does this with no disruption to
your current process. You maximize the investment in your existing
technologies. There’s no new hardware to buy. And, there’s no need to
change any existing vendor. BaseLine can function as a stand-alone
web-base SaaS; or it can be integrated into your existing technology and
operate quietly in the background."
EnableComp
"After years of experience on the Insurer and Provider sides of
the workers’ comp industry, we chose to confront the redundant,
inefficient, paper-driven processes that drive excessive healthcare
administration costs. We started by creating an electronic,
paperless medical document “transit” system, Secure Document
Exchange, to enable payers to easily and securely receive claims
and notes on their desktops. Our specialty is helping providers,
particularly hospitals, obtain prompt, appropriate reimbursement for
care, with Accelerated Reimbursement Services, while providing
payers with the necessary medical information for claim
processing. Additionally, we offer web-based knowledge tools
that reduce administrative and managed care costs, called ResearchLink."
Guidewire
"Guidewire ClaimCenter is the
industry's first end-to-end, 100% web-based claims system, built from
the ground up for the specific requirements of today's claims
organization. It is currently in production supporting all lines of
personal, commercial and workers' compensation insurance. Unlike
traditional claims systems, Guidewire ClaimCenter was not designed
simply to store static information and process financial transactions.
ClaimCenter was built from the ground up to reduce claims costs by
making claim handlers more efficient and providing the guidance needed
to improve claim outcomes. By ensuring that every claim is handled the
right way, the system reduces errors and lowers loss costs, while
increasing handler productivity and providing consistent customer
service."
Insurity
"Insurity provides services that support all
aspects of Property/Casualty policy administration, with end-to-end
solutions employing best-of-class applications and personnel. We
design and implement software applications that automate business
processes from application-input to customized reporting, from claims
management to reinsurance, with more than 25 years of experience meeting
the ongoing needs of more than 100 insurance distributors — from large
and mid-tier carriers (including more than half of the nation’s top
20) to brokers and MGAs."
Medata
Medata is the originator of Automated Medical Bill Review Software
Solutions. Since 1975, Medata has provided bill review solutions to the
Workers’ Compensation, Auto Liability, and General Health community.
CORE, Medata’s bill review engine, has processed over 400 Million bills
in the last 35 years—and over 150 Million bills in just 10 years! The
Medata system was built to last! Building upon the foundation of our
CORE Bill Review engine, Medata, Inc. has continued over the years to
expand its suite of cost containment products to address every stage of
the bill review process. Each of the products has been developed to
complement a paperless workflow, making everyday tasks more efficient
and cost effective.
Medical
Consultants Network
A nationwide provider of medical judgment services, MCN’s
national network of physicians and other medical care professionals is
continuously growing. MCN’s medical records and service ordering
systems, including eChannel and custom-designed database, are secured
and integrated to allow for ease of access by clients in any location
while maintaining the strictest of security protocols. MCN offers a
comprehensive range of review services including Independent Medical
Evaluations (IMEs), Utilization Reviews, Bill Reviews, Pharmaceutical
Reviews, and a broad spectrum of services related to Workers’
Compensation as well as Disability Claims and Auto/Liability claims.
Medgate
"Medgate Inc. is the premier developer
and implementer of Occupational Health & Safety (OH&S) software
solutions and professional services. With almost 20 years of
proven expertise in the area of Occupational Health & Safety,
Medgate Inc. continues to be recognized globally, as an industry leader
in its field. We continually enhance our Occupational Health &
Safety software to ensure state of the art, user-friendly, OH&S and
disability management information tools.
Medgate's
strategic concentration in research & development generates
cutting-edge solutions designed to meet ever-evolving business
technologies and processes."
Midwest
Employers Casualty Company
"Midwest
Employers' success as a workers' comp excess carrier is built upon
improved decision-making capabilities.
Our long-term IT investments have paid dividends for both our
clients and our company. Clients have access to analytical tools
needed to better manage programs, and we have access to invaluable
information on which to base underwriting decisions.
While we have become known as a highly focused underwriter of
specific excess, aggregate excess, and self-insurer bonds, it is our
commitment to helping businesses lower total program costs at the center
of our reputation. To that
end, we are the only excess insurer to bundle an array of powerful risk
management services with our excess coverages."
PureSafety
"PureSafety is the leading provider of online
safety training and risk management solutions. Since 1999, PureSafety
has been protecting and preserving a company's greatest asset - its
people. We understand that fostering a safe, healthy workforce improves
productivity, lowers costs and builds the bottom line. With our flexible
Learning Management System (LMS), extensive library of courseware, and
customizable training solutions, we deliver everything you need to
improve your workplace safety, health and organizational
performance."
Smart-UR
"Smart-UR has cut direct operating costs of Utilization Review (UR)
budgets by 30% to 50% and produced significant increases in productivity
of the staff assigned to the UR program. Smart-UR doesn't require any
change in your existing UR vendor relationships, but it will
dramatically reduce the number of requests you need to vend out.
Smart-UR engages a sophisticated but simple triage technology that is
able to target UR requests that require the attention of your
highly-paid professional resources from those that do not; and it
handles all the mundane regulatory paperwork automatically in the
background. Smart-UR frees your professional staff from the routine
time-consuming tasks required by regulations so they can focus on the
important claim management issues that produce meaningful outcomes.
Smart-UR improves workflows and productivity, minimizes delays, and
reduces direct operating costs."
StrataCare
"StrataCare is a leader in
national bill
review software solutions and service for the workers' compensation
industry. The StrataWare suite utilizes the latest browser-based
technology to deliver an integrated solution that helps our clients
lower costs, improve productivity, increase profits, and meet regulatory
or governmental compliance. Our flexible and user-friendly
solutions allow you to manage workers' compensation bill review in-house
or outsource through our CareSolutions
National Bill Review Service Center. StrataCare's staff are experts
in workers' compensation bill review and are committed to delivering a
complete solution that meets the unique needs of our clients, which
include insurance companies, self insured employers and third party
administrators.
Unique
Software Solutions
"In 1984 the idea to develop a
comprehensive occupational health and safety software package came to
life. With the assistance of doctors and nurses in the
occupational health industry OHM was developed. Unique Software
Solutions, Inc. was formed in 1986 as the company behind the
software. Since 1986 the OHM Software has grown with and yes, even
sometimes ahead of the occupational health, safety and environmental
industry. First in the industry, OHM has led the way by staying up
with the technology that our customers need."
Use any of the links above to familiarize yourself with
these organizations and the fine products and services they offer.
Be sure to request integration packages with Official Disability Guidelines
(ODG). |
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