This includes provisions to eliminate utilization review (UR) delays and inappropriate denials of care for injured workers, as well as prevent billions of dollars in WC billing fraud. Check out the 10 things you need to know about SB 1160 to stay ahead of the complex and evolving regulations
When you review a medication request, it’s not always clear why one drug is approved first and another is not. That is where step therapy comes in. In workers’ compensation, step therapy gives you a structured, evidence-based framework for evaluating medication requests, starting with well-supported, lower-risk treatments before moving to other options when medically necessary.
In Business Insurance, Enlyte’s Stephanie Leras explains how provider networks are shifting beyond cost control to improve care quality, recovery and claim outcomes.
See how Enlyte helped a national insurer strengthen utilization review oversight for functional restoration programs in California, reducing unnecessary approvals and avoiding an estimated $2 million in potential outpatient spend.
Gain full visibility into your workers’ compensation program with Enlyte’s WC Claims Dashboard. Make faster, data-driven decisions and improve outcomes
Enlyte, a leader in technology, networks and services for the property and casualty industry, announced today it has completed its acquisition of PartsTrader, a leading parts procurement marketplace for auto insurers and collision repairers.
Enlyte experts explore how the Ticket to Work program empowers SSDI/SSI beneficiaries to achieve financial independence while preserving benefits, showcasing our attorney-led disability services approach.