Mitchell announces the release of Decision Point 7.4, anautomated medical bill review and workflow solution for first- andthird-party liability adjusters. The release boasts significantimprovements to fraud and utilization management, as well asstate-specific compliance updates.

“As state-specific regulations in the auto casualty industrycontinue to rapidly evolve, remaining compliant is an increasinglydifficult task for insurance companies,” says Vidya Dinamani, vicepresident of product management and marketing. “It is criticalcarriers empower adjusters with technology to streamline andautomate injury and liability claims handling. Without thistechnology, the claims management process is often cumbersome,inefficient and prone to errors.”

Decision Point 7.4 is an end-to-end medical bill review platformenabling adjusters in the auto casualty industry to make informeddecisions around medical bills related to liability claims. Keyupdates to the product include:

• Claimant Dashboard – dashboard equips adjusters with a visuallyappealing, claim-level view of provided medical care, enabling theproactive management of utilization and identification of potentialfraud.
• Explanation of Benefits (EOB) – redesigned EOB for ease-of-useby leveraging industry best practices while continuing to becompliant with all state regulations.
• Claimant Treatment Guide (CTG) – CTG automates medicaltreatment guidelines for the pre-certification process in NewJersey, allowing adjusters to quickly view the impact of aclaimant's pre-cert on a bill.
• Network Tiering Workflow – The introduction of configurablerules for selecting and routing bills through network tiering, withan emphasis on facilitating automatic out-of-network processing sothat adjusters have more options for extending benefits for theirpolicyholders.

“Mitchell's agile methodology for software development allowsthe company to quickly bring new products to market to meet andexceed client needs. The benefits of practicing these developmentprinciples are evident in Decision Point 7.4,” says Dinamani. “Inthis development cycle for example, Mitchell has introduced a newinnovation through Claimant Dashboard. This feature providescustomers with unparalleled visibility into claimant medical care,to enable proactive management of claims. At the same time, newstate-specific product enhancements ensure customers remaincompliant as regulations evolve.”