A few Words —CareLink
CareLink integration brings together the bill review and utilization review process into a seamlessly integrated solution.
By promoting two-way communication, data is shared between the different stages of the review process, creating a unique blend of powerful individual systems with integrated data solutions.
- • Interprets the language of UR with the data related to bill review
- • Assigns code ranges related to types of medical service
- • Applies UR results into the bill processing function
- • Marriages clinical findings with Fee Schedule determinations
- • Integration of Claim and Vendor Information
- • Presentation of Bill review History when UR decisions are made
- • Pre-Approval of procedures and values to replace bill review
- • Code Restriction Rule generation into the bill review process