Ensuring Business Continuity Through COVID-19 & Beyond

Ensuring Business Continuity Through COVID-19 & BeyondMay 20, 2020Throughout the COVID-19 crisis, DataCare has ensured continuous business operations  support to clients (Fortune 500 corporations, national insurance carriers, TPAs, and more). By using DataCare's Ahshay Software-as-a-Service platform to its fullest potential, the majority of our clients have been able to maintain their volume, turnaround times, and [...]

2020-08-15T18:30:30+00:00May 20th, 2020|

Statewide Investigation Due to Critical Error by Insurance Giant

Ensure your company is protected with the right software! // Aetna, the nation’s third-largest insurance provider with 23.1 million customers, is under fire from an investigation led by the California Insurance Commissioner, Dave Jones. While Group Health is already a stringent practice that requires adherence to several laws and regulations, one of Aetna’s reviewing physicians [...]

2018-02-23T23:11:24+00:00February 23rd, 2018|

Are You Prepared For Senate Bill 1160?

This letter is to address the impact of Senate Bill 1160 (or SB1160) pertaining to self-insureds, TPA’s or third-party-administrators, employers, and utilization review organizations across California. On September 30, 2016, SB1160 was signed by Governor Jerry Brown, which is set for implementation beginning the first of January in 2018. The result of this bill will [...]

2017-08-14T20:49:25+00:00August 14th, 2017|

UR++ 1.4 for Adjusters and Claims Professionals

DataCare is proud to present its latest release for Adjusters and Claims Professionals: UR++ 1.4 WHAT'S NEW Adjusters/ Claims Professionals come across several Request for Authorizations (RFAs) each day, and some cases may require additional attention. For this reason, the latest version of UR++ enables clients to incorporate a best practices ruleset to make approvals [...]

2017-05-26T15:03:06+00:00March 24th, 2017|

Benefits of Integrating CM, UR and Adjuster Software Modules

Companies involved in Workers’ Compensation will typically use Utilization Review, Case Management and Claims Management software independent of one another. The Ahshay core software platform achieves higher efficiency, savings, and detailed reporting by combining these modules under one platform. Within DataCare‘s core platform Ahshay, Utilization Review, Case Management, and the claim enhancing Medical Process Manager [...]

2017-05-26T15:03:06+00:00November 7th, 2016|

Balancing Medical Spending and Necessity With the Cost of Referring to UR

Time after time, adjusting offices find themselves asking the same question: “Should we approve this request for physical therapy, or is it worth sending to UR? We usually just go ahead and approve these, but we have been seeing PT requests for this patient pop up an awful lot this past month… Let’s just approve [...]

2017-05-26T15:03:06+00:00October 14th, 2016|

New Mexico Mutual Insurance Selects DataCare for Workers’ Comp Software

New Mexico Mutual Insurance wanted a proven commercial-off-the-shelf workers' compensation system to support all aspects of its workers' compensation administration – including front-end data capture capabilities, report creation, caseload management – and the consulting services to assist with the installation and implementation of the system. Designed specifically for the workers' compensation industry, DataCare’s Ahshay Platform supports [...]

2017-08-31T16:06:46+00:00November 13th, 2014|