CAAP
Did you know that between 50% and 60% of all requested utilization reviews did not need to be sent to a UR vendor?
We all know that utilization management can be both clinically and financially effective in preventing over-utilization in workers’ compensation. But not every medical treatment request requires utilization review. In an ideal world, you would only send the 40% to 50% of treatment requests that would actually be impacted by a review. This would minimize the time and money spent on all the other treatment requests that end up “approved as requested.”
Welcome to the ideal world!
As one of the leading national utilization review service providers, CID understands your concerns and is using our proven technology (already adopted by Carriers, Third Party Administrators (TPAs) and Employers) to provide you with a way to streamline the UR process. With CAAP we have developed an automated solution that uses evidence based guidelines and our wealth of historical review data to give your claims staff feedback on the need for utilization review on any treatment request, effectively eliminating unnecessary medical reviews.
We invite you to learn more about our successful experiences in assisting workers’ compensation organizations with utilization management services.