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Medical Loss Reserve Manager
Analytics-Informed Medical Management
An analytics-informed knowledge assistant for claim reps to accurately and efficiently manage medical reserving.
  • Analyzes historic data to create Predictive Intelligence Profiles of risk conditions in claims
  • Sends alerts to the adjustor when medical reserving needs attention in claims
  • Provides decision support for posting the probable ultimate medical reserve amount based on the data
  • Sets organization's protocol for automatic referral to Nurse Case Management and others
  • Calculates objective medical savings at claim closure based on reserve projections and real time proactive medical management
  • MedMetrics does the work-No data entry required!
Analytics-Informed Medical Management-elegantly simple, yet powerful!

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