Enlyte delivers a powerful, fully integrated solution for managing Michigan Auto No-Fault claims—seamlessly combining Utilization Review (UR), Bill Review, and Field Case Management (FCM) to drive better outcomes for payers, providers, and injured parties alike.
Smarter Claim Decisions with Integrated UR and Bill Review
Enlyte’s Utilization Review and Bill Review programs work together to ensure that every treatment billed meets medical and regulatory standards. The process leverages automation, evidence-based guidelines, and clinical oversight to reduce delays and improve decision quality.
Key features include:
- Real-time review using nationally recognized medical treatment criteria as part of each client’s approved UR plan
- Automatic pend/review of bills based on customizable business rules
- Clinically sound recommendations backed by clear documentation
- Direct electronic integration between bill and utilization review, enabling faster processing and response times
The results speak for themselves: an appeal rate of just 4% and average billing adjustments ranging from $537 to $1,375 per review.
Field Case Management for Complex & Catastrophic Claims
Our Field Case Managers are strategically located throughout Michigan and are experienced in handling complex, severe, and catastrophic cases.
Enlyte provides:
- Rapid engagement to reduce unnecessary claim duration and cost
- Personalized in-field assessments and coordinated care planning
- Ongoing communication with providers, patients, and claims organizations
- Expertise in navigating Michigan’s regulatory environment
Why Enlyte for Michigan Auto?
- Certified UR Program Application Assistance meeting DIFS administrative rules
- Annual reporting support for DIFS UR Administrative Rule 500.68 compliance
- Seamless integration between bill review and utilization review
- Configurable, client-specific rules and workflows
- High ROI and cost avoidance through proactive case management
Take the first step toward better claim outcomes. Schedule a consultation with Enlyte to see how our Michigan Auto No-Fault solutions can work for you.