- API connection IROs and vendors.
- Claim and referral notes.
- Eliminate repeatable, mundane tasks through automation.
- Calculate UR nurse savings and automatically generate UR invoices
- Tracking of all jurisdictional turnaround times
- Notifications of which requests are due
- Communication between providers and attorneys are automated through emails, fax, APIs, or USPS.
- Ability to Add New States Rules and Letters Quickly at NO cost
- Deep link to EBM guidelines tools
- Direct study and source guidelines.
- Proprietary state rules and guidelines developed by ProtoLytic
- Machine learning and artificial intelligence used to automate decisions.
- Letters and documents management facilitate audits and reviews.
- Internal and external appeal process management.
- Store and generate the specific state of jurisdiction and automate any state requirements, as well as ALL templates/letters and state required forms.
- Time tracking for billing – UR/UM.
- Help UR organizations make supported decisions in less time.
- All processes are standardized and automated.
- Automated bill system communications.
- Customizable billable items are captured by the system.
- Fully supports URAC accredited UR operations.
- Automated reports.
- Compliance tracking.
- All documents are stored, and time stamped for auditing.