CareLink
Integration

A few WordsCareLink






CareLink integration brings together the bill review and utilization review process into a seamlessly integrated solution.

By promoting two-way communication, data is shared between the different stages of the review process, creating a unique blend of powerful individual systems with integrated data solutions.

CareLink

  • • Interprets the language of UR with the data related to bill review

  • • Assigns code ranges related to types of medical service

  • • Applies UR results into the bill processing function

  • • Marriages clinical findings with Fee Schedule determinations

  • • Integration of Claim and Vendor Information

  • • Presentation of Bill review History when UR decisions are made

  • • Pre-Approval of procedures and values to replace bill review

  • • Code Restriction Rule generation into the bill review process