600 S. Magnolia Ave, Suite 250, Tampa, Florida 33606  |  info@protolytic.com

The new UR platform provides a comprehensive utilization management system, including automated documents, workflow, and scheduling for follow up based on state required timeframes. The AI-based rules engine gives an in depth review of medical requests. The system determines what communications are required by the state of jurisdiction and automatically provides that information.

Key Features of UR Express™

✓ Faster processing
✓ Consistency in all UR requests
✓ Assured compliance with state guidelines
✓ Customized solutions for APIs, billing, letters, processes, policies
✓ Cloud based service

Productivity and medical savings

  • Helps your organization make decisions in far less time.
  • Realtime electronic communications with external partners.
  • Automates routine tasks.
  • Calculates savings and generates UR invoices.
  • Tracks all turnaround times for compliance.
  • Automates access to all state guidelines and client standards.
  • Generates, sends, and saves all communications with minimum user input.
  • Automates reporting for URAC compliance.

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Utilization Management Support

STANDARDIZED WORKFLOWS 

  • API connection to physician review organizations (IRO) 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 
 

GUIDELINES 

  • 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. 
 

DOCUMENTS MANAGEMENT 

  • 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 MANAGEMENT 

  • 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. 

REPORTING 

  • Fully supports URAC accredited UR operations. 
  • Automated reports
  • Compliance tracking. 
  • All documents are stored, and time stamped for auditing. 

The UR Express™ System automates many of the UR nurse's functions to improve productivity and get faster results. The system makes recommendations based on the state's requirements using the appropriate evidence-based guidelines, proprietary state rules and regulations, and machine-learning based algorithms. The system pends for physician review and other review processes.

It provides all communications required for a state, and generates the appropriate letters and attachments. ProtoLytic UR Express™ also captures billing data based on your billing arrangements with UR clients.

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Office:

ProtoLytic, LLC
Suite 250
600 S. Magnolia Avenue
Tampa, FL 33606