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MedGrail is fully integrated with the claim and membership system.

AS400 Solution
MedGrail supports AS400 iseries access with a full AS400Toolbox functionality. It helps leverage the investment in the legacy technology.

MedGrail - Utilization Review
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.
  • 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 patientís 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
  • The user can take advantage of all the systemís comprehensive set of features and functionality using simple and intuitive forms. MedGrailís forms are easy to read and easy to navigate and require no detailed instructions.  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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