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 [...]
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 [...]
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 [...]
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 [...]
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 [...]
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 [...]
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 [...]