Integrated Process for Triage, Authorizations & UR

DataCare’s UR++ claims software tool empowers claims or specialized professionals to quickly track and process all incoming requests with increased efficiency and compliance.

The UR++ is a tool that streamlines the flow for Request-for-Authorization’s, allowing triage, objections, automatic adjudication and approval or electronic submission to UR. Every step of the process is monitored and tracked, and all pertinent documentation is generated and sent to stakeholders.

Visit the Utilization Review module for more details on the UR workflow.

Process claims in as little as 3 steps!

Increase Productivity

Use claims personnel and not adjusters to make treatment authorizations with confidence, knowing that client rules are integrated.

Fully Integratable

Authorizations and objections can be communicated to the Bill Review partner, while UR authorizations and denials from UR are integrated into the decision engine and available to assist.

Real-time Analytics

Generate audit approval reports in minutes and save 80% of the time normally needed to manually pull records for auditors.

Quick UR Triage decisions

Custom approval rules can be integrated with guidelines and treatment history, while supporting either fully automated systems or trained triage personnel to approve specific treatment requests.

Productivity & Visibility

  • With UR++, claims adjusters can quickly make treatment authorizations.
  • Audit approval reports can be generated within minutes.
  • Also incorporates DataCare’s OCR (Optical Character Recognition) technology to save time while searching within documents.
  • SaaS (Software-as-a-Service) model eliminates the need to install software or hardware.
  • DataCare has wide experience integrating with claims, bill review, and internal client systems enabling real-time data exchange.

Why should you work with our UR++ claims software tool?

DataCare’s UR++ claims software tool provides users an efficient workflow for tracking and processing incoming Request-for-Authorizations (RFA’s), while providing a reliable network backed by SOC 2 Certification.

Request a demo!