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Workers' Comp Case Study

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

3 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.
Mitchell Article

Six Questions to Ask When Evaluating a Medical Management Software Solution

The medical management software provider that you select as your partner can have a major impact on not only your organization's claims outcomes, but also the lives of the injured party.
Mitchell Conference

RIMS 2022 Annual Conference & Exhibition

RIMS 2022 Annual Conference & Exhibition is the premier event for the risk management community.
Enlyte Article

Workers’ Compensation: 2022 Trends & Predictions

14 MIN READ

As we enter 2022 still mired in the COVID-19 pandemic, the workers’ compensation industry faces another challenging year, with payers continuing to cope with staffing shortages, evolving regulatory changes and more. To help you navigate what’s next and understand this year’s top trends, we’ve outlined Enlyte’s top 2022 workers’ compensation predictions:
Workers' Comp Article

Empowering Employees to Make Informed Decisions

4 MIN READ

How confident are you in driving to a new destination without a navigation system? What roadblocks might you encounter and how would you know if you’re following the safest and quickest route? Would you remember directions someone had given you at a time when you didn’t need them?
Mitchell Virtual Event

2021 mPower Virtual Conference

On-Demand

The Mitchell | Genex | Coventry team looks forward to connecting with you at the 2021 mPower Conference, taking place virtually October 12–14, 2021.
Workers' Comp Podcast

Getting OnBoard With New York's Regulatory Changes

​​​​​​​Over the last few years, New York has been implemented new reforms to increase the speed and efficiency of its claims process. In today’s Inside Workers' Comp, Dr. Lisa O'Connor, Genex's Associate Clinical Director, Utilization Review, tells us about one of them, OnBoard, New York’s new online web portal for processing workers’ comp claims.
Mitchell Article

Silver Linings in 2020 [Video]

Watch Alex share some silver linings from 2020, with recommendations on how to leverage this year’s positive trends to help you find greater success.