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Integration
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MedGrail is fully integrated with
the claim and membership system.
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AS400 Solution |
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MedGrail supports AS400 iseries access
with a full AS400Toolbox functionality.
It helps leverage the investment in the
legacy technology. |
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MedGrail - Utilization Review |
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Management
of utilization is one of the key elements in managing quality
and efficiency of health care. The MedGrail UR is a tool
designed specifically for the utilization review staff.
It combines simplicity of use with powerful real time integration
with the claim system.
The MedGrail UR is built on vision of a patient centric, clinically
sound approach to the healthcare. The MedGrail UR includes a full
clinical health record for each patient in addition to the
case and authorization data. With easy access to the information,
the clinical staff will be in the best position to make
clinically sound decisions.
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Personal information including demographics, payers
and full identification.
When integrated with the membership system, the UR
provides full access to the current member eligibility.
Concise forms allow the reviewer to use minimal
number of forms to accomplish the task.
Provider searches with direct controlled access to a
patient’s record
Built in workflow system ensures that all cases are
followed on consistent basis.
Management portal includes ability to balance
workload of individual reviewers and to access
management reports.
Modern web-based architecture
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The user
can take advantage of all the system’s comprehensive set
of features and functionality using simple and intuitive
forms. MedGrail’s forms are easy to read and
easy to navigate and require no detailed instructions.
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The MedGrail
provides unique combination of sophisticated functionality
and simple operation. It is designed to improve patient
follow-up, comprehensive screening processes, and compliance
with the treatment plans. |
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