Mitchell, a provider of technology, connectivity and informationsolutions to the property & casualty claims industry, announcesenhancements to the  SmartAdvisor Utilization Review (UR) DecisionManager, a solution that integrates utilization reviewdecisions within the bill review process, empowering insuranceclaims payers with the ability to reduce unauthorized treatmentlosses, improve efficiency with automated and accelerated treatmentdecisions, and optimize investment in utilization reviewtechnology.

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"The Mitchell SmartAdvisor UR Decision Manager, like all ourclaims management solutions, is continually enhanced and improvedin order to substantially increase straight-through processingrates," says Nina Smith-Garmon, senior vice president and generalmanager of Mitchell's workers' compensation division. "The URDecision Manager automatically applies utilization reviewrecommendations to a bill, allowing manual intervention only whenneeded, which enabled one of our clients to reduce medical billprocessing time by an impressive 30.6 per cent. The market interestfor UR Decision Manager is strong and we look forward to workingwith our clients to help them improve operational efficiency."

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The solution offers insurance payers further improvements inoperational and financial efficiency with the ability to customizeUR exceptions at the client, policy or claims systems level;automate compliance with New York and California treatmentguidelines; and access an enhanced user interface with moregranular visibility into bill entry and explanations of review(EOR) applied UR decisions.

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In addition, SmartAdvisor supports the integration of third-artysystems such as Unimed, DataCare, CID Management and others intothe UR Decision Manager, in order to simplify and optimize claimshandling while containing costs.

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