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Workers' Comp Case Study

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

4 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 Article

Utilization Review: Addressing the Issues

7 MIN READ

Utilization review has received its share of criticism in workers’ compensation. In this edition of Inside Workers’ Comp, Genex’s Todd Andrew answers the tough questions regarding UR and explains why it’s a valuable component in the industry.
Workers' Comp White Paper

Reducing Human Error in Utilization Review Decision Making

1 MIN READ

Read this informative insight paper to find out how you can assure injured workers receive the best care protocol while eliminating the costly repercussions of human error.
Workers' Comp Article

Learn More About What It Takes To Achieve URAC Accreditation

4 MIN READ

Genex Services is a leader in utilization review (UR) and has an advanced position to meet the requirements of California Senate Bill 1160, particularly the accreditation mandate.

Benefits Magazine Article

Benefits Magazine: 7 Questions Toward More Effective Workers' Comp Programs

4 MIN READ

In trying to ensure workers' compensation programs work for both employees and their organization, employers need to consider at least seven key areas.