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Workers' Comp Case Study

How One Carrier Saved $2M by Automating Utilization Review Decisions

5 MIN READ

At a large insurance carrier, adjusters were manually tracking utilization review (UR) determinations and cross-referencing them with incoming medical bills, often across multiple claims. Their traditional manual approach to UR was time-consuming, prone to human error and made it difficult to catch when providers billed for services that had previously been denied or exceeded the authorized limits. As a result, they paid for non-authorized treatments and lost productivity as their adjusters had to spend valuable time on administrative tasks instead of higher-priority responsibilities.
Workers' Comp Podcast

A Closer Look at California MPNs

Tune into this podcast as we explore the complexities of California's Medical Provider Network with Stephanie Leras, Director of Coventry Network Program Management. Discover innovative strategies and current trends for managing state workers' compensation costs in this insightful discussion.
Workers' Comp Podcast

Clinical and Pharmaceutical Best Practices for PTSD

Enlyte’s Tammy Bradly and Nikki Wilson will share their expertise in a WCI panel session “PTSD and its Doppelgangers.” In today’s podcast, Tammy and Nikki join us to talk more about this topic.
Workers' Comp Article

The More You Know: Health Care Literacy’s Impact on Return to Work

6 MIN READ

Get insight on how ensuring equal access to health care for injured employees helps to reduce delayed recovery costs from Enlyte Executive Insight's Helen Froehlich.
WorkCompWire Article

Navigating the OnBoard Era: Streamlining Treatment Delivery in New York State

In the spring of 2022, the New York State Workers’ Compensation Board (WCB) rolled out OnBoard: Limited Release, transitioning key utilization review processes from paper to online for health care

Auto Casualty Article

How Personalized Care Leads to Faster Recovery Times

2 MIN READ

Understanding the social determinants of health and taking a more personalized approach to understand an injured employees’ life circumstances can help them recover faster.

Auto Casualty Article

Dave Torrence Gives His Perspective on the Benefits of Bringing Technology, Clinical and Networks Together

5 MIN READ

Bringing the three leading entities together under Enlyte has allowed us to boast the industry’s most unique collection of data. We have pulled this information together to offer a much more holistic view of what is going on across multiple business segments. Ultimately, that is what makes us special and brings value to our clients. 
Auto Casualty Article

Seven Technology Features to Look for in a Medical Management Software Solution

5 MIN READ

As medical costs continue to rise, workers’ compensation payors are looking for methods to identify expenses that can be controlled and ways to handle claims more efficiently.