{"id":695,"date":"2022-08-02T08:48:14","date_gmt":"2022-08-02T08:48:14","guid":{"rendered":"http:\/\/box5859.temp.domains\/~wcinsigh\/adaptiveprocessing\/?page_id=695"},"modified":"2022-10-17T16:45:43","modified_gmt":"2022-10-17T16:45:43","slug":"claimexpert-and-associated-services","status":"publish","type":"page","link":"http:\/\/box5859.temp.domains\/~wcinsigh\/adaptiveprocessing\/claimexpert-and-associated-services\/","title":{"rendered":"CLAIMExpert"},"content":{"rendered":"

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CLAIMExpert<\/h1>\n

[\/et_pb_text][lwp_divi_breadcrumbs font_icon=”9||divi||400″ link_color=”gcid-b454ebfe-4dda-403e-898c-b66bec323365″ _builder_version=”4.17.6″ _module_preset=”default” module_font=”Open Sans|600|||||||” module_text_align=”center” module_text_color=”#000000″ module_font_size=”18px” module_line_height=”28px” module_font_size_tablet=”18px” module_font_size_phone=”16px” module_font_size_last_edited=”on|phone” module_line_height_tablet=”28px” module_line_height_phone=”26px” module_line_height_last_edited=”on|phone” global_colors_info=”{%22gcid-b454ebfe-4dda-403e-898c-b66bec323365%22:%91%22link_color%22%93}”][\/lwp_divi_breadcrumbs][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”on|tablet” _builder_version=”4.17.6″ _module_preset=”default” background_enable_color=”off” custom_padding=”50px||50px||true|false” custom_padding_tablet=”80px|5px|80px|5px|true|true” custom_padding_phone=”50px|15px|50px|15px|true|true” da_disable_devices=”off|off|off” global_colors_info=”{}” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” da_dark_close=”off” da_not_modal=”on” da_is_singular=”off” da_with_loader=”off” da_has_shadow=”on”][et_pb_row use_custom_gutter=”on” gutter_width=”1″ make_equal=”on” _builder_version=”4.17.6″ _module_preset=”default” width=”100%” custom_padding=”||||false|false” custom_css_main_element=”flex-wrap: wrap;||align-items: center;” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.17.6″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.17.6″ _module_preset=”default” header_font=”Archivo|700|||||||” header_text_align=”center” header_text_color=”#121212″ header_font_size=”65px” header_line_height=”75px” header_2_font=”Archivo|700|||||||” header_2_text_color=”#121212″ header_2_font_size=”48px” header_2_line_height=”58px” header_3_font=”Archivo|700|||||||” header_3_text_align=”center” header_3_text_color=”#000000″ header_3_font_size=”48px” header_3_line_height=”52px” text_orientation=”center” width=”100%” max_width=”744px” max_width_tablet=”77%” max_width_phone=”100%” max_width_last_edited=”on|tablet” custom_margin=”||||false|false” custom_padding=”||||false|true” header_2_font_size_tablet=”48px” header_2_font_size_phone=”28px” header_2_font_size_last_edited=”on|phone” header_2_line_height_tablet=”58px” header_2_line_height_phone=”38px” header_2_line_height_last_edited=”on|phone” header_3_font_size_tablet=”28px” header_3_font_size_phone=”26px” header_3_font_size_last_edited=”on|tablet” header_3_line_height_tablet=”40px” header_3_line_height_phone=”36px” header_3_line_height_last_edited=”on|tablet” custom_css_main_element=”width: fit-content;||margin-left: auto;||margin-right: auto;” global_colors_info=”{}”]<\/p>\n

Empowering Your Adjusters and Improving Your Bottom Line<\/h3>\n

[\/et_pb_text][et_pb_image src=”http:\/\/box5859.temp.domains\/~wcinsigh\/adaptiveprocessing\/wp-content\/uploads\/2022\/08\/divider.png” title_text=”divider” align=”center” admin_label=”Image” _builder_version=”4.17.6″ _module_preset=”default” custom_padding=”25px||||false|false” global_colors_info=”{}”][\/et_pb_image][et_pb_text admin_label=”Text” _builder_version=”4.17.6″ _module_preset=”default” text_font=”Roboto||||||||” text_text_color=”#272727″ text_font_size=”22px” text_line_height=”30px” header_font=”Archivo|700|||||||” header_text_align=”center” header_text_color=”#121212″ header_font_size=”65px” header_line_height=”75px” header_5_font=”Roboto||||||||” header_5_text_align=”left” header_5_font_size=”24px” header_5_line_height=”28px” text_orientation=”center” width=”100%” max_width=”80%” max_width_tablet=”100%” max_width_phone=”100%” max_width_last_edited=”on|tablet” module_alignment=”center” custom_padding=”50px||100px||false|false” custom_padding_tablet=”20px|15px|40px|15px|false|true” custom_padding_phone=”20px|15px|40px|15px|false|true” custom_padding_last_edited=”on|tablet” hover_enabled=”0″ text_font_size_tablet=”14px” text_font_size_phone=”14px” text_font_size_last_edited=”on|tablet” text_line_height_tablet=”24.2px” text_line_height_phone=”24.2px” text_line_height_last_edited=”on|tablet” global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n

CLAIMExpert<\/span><\/strong>, our flagship claims processing solution, automatically processes 68% of incoming medical bills and non-medical documents with no user intervention.<\/p>\n

CLAIMExpert contains rules for over 190 different document types, quickly handling whitemail and any other documents that come across your adjuster\u2019s desk. By offering unparalleled workflow management, we reduce the cost spent on claims management and provide greater efficiency, consistency, and document transparency.<\/p>\n

By removing routine tasks, CLAIMExpert lets adjusters focus on complex claims, which allows them to close medical claims 50% faster than their counterparts using manual claims management.<\/p>\n

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Automatically processes incoming documents with NO<\/em> adjuster intervention<\/p>\n

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Clients typically see between 11 and 23 points medical loss improvement in the first year<\/p>\n

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Adjusters using CLAIMExpert closed medical claims over 50% faster, freeing up reserves<\/p>\n

[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ make_equal=”on” _builder_version=”4.17.6″ _module_preset=”default” width=”100%” custom_padding=”50px||0px||false|false” custom_css_main_element=”align-items: center;” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.17.6″ _module_preset=”default” custom_padding=”|15px||15px|false|false” custom_padding_tablet=”|15px||15px|false|false” custom_padding_phone=”|0px||0px|false|false” custom_padding_last_edited=”on|phone” custom_css_main_element=”width: 33.33% !important;” global_colors_info=”{}” custom_css_main_element_last_edited=”on|tablet” custom_css_main_element_tablet=”width: 50% !important;” custom_css_main_element_phone=”width:100%;”][et_pb_blurb title=”More Than Bills” image=”http:\/\/box5859.temp.domains\/~wcinsigh\/adaptiveprocessing\/wp-content\/uploads\/2022\/08\/more-than-bills.png” image_icon_width=”80px” image_last_edited=”off|desktop” module_class=”gradient-boxes medical-box more-than-bills” _builder_version=”4.17.6″ _module_preset=”default” header_level=”h5″ header_font=”Roboto|700|||||||” header_text_align=”center” header_text_color=”#000000″ header_font_size=”22px” header_line_height=”30px” body_font=”Roboto||||||||” body_text_color=”#000000″ body_font_size=”18px” body_line_height=”26px” background_color=”#ffffff” image_icon_custom_margin=”||||false|false” image_icon_custom_padding=”15px|15px|15px|15px|false|false” text_orientation=”center” custom_margin=”||||false|false” custom_margin_tablet=”||||false|false” custom_margin_phone=”0px||||false|false” custom_margin_last_edited=”on|tablet” custom_padding=”|20px|75px|20px|false|true” animation=”off” header_font_size_tablet=”18px” header_font_size_phone=”18px” header_font_size_last_edited=”on|tablet” header_line_height_tablet=”28px” header_line_height_phone=”28px” header_line_height_last_edited=”on|tablet” body_font_size_tablet=”14px” body_font_size_phone=”14px” body_font_size_last_edited=”on|tablet” body_line_height_tablet=”24px” body_line_height_phone=”24px” body_line_height_last_edited=”on|tablet” border_radii=”on|20px|20px|20px|20px” border_radii_image=”on|15px|15px|15px|15px” box_shadow_style=”preset1″ box_shadow_vertical=”0px” box_shadow_blur=”20px” box_shadow_color=”rgba(0,0,0,0.1)” global_colors_info=”{}” image__hover_enabled=”off|desktop”]<\/p>\n

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CLAIMExpert contains rules for over 190 different document types, quickly handling whitemail and any other documents that come across your adjuster\u2019s desk<\/p>\n

[\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.17.6″ _module_preset=”default” custom_padding=”|15px||15px|false|false” custom_css_main_element=”width: 66.67% !important;” global_colors_info=”{}” custom_css_main_element_last_edited=”on|tablet” custom_css_main_element_tablet=”width: 50% !important;” custom_css_main_element_phone=”width:100%;”][et_pb_text _builder_version=”4.17.6″ _module_preset=”default” text_font=”Roboto||||||||” text_text_color=”#000000″ text_font_size=”26px” text_line_height=”35px” header_font=”Archivo|700|||||||” header_text_align=”center” header_text_color=”#121212″ header_font_size=”65px” header_line_height=”75px” header_5_font=”Roboto||||||||” header_5_text_align=”left” header_5_font_size=”24px” header_5_line_height=”28px” text_orientation=”center” custom_padding=”0px|10px|5px|10px|false|false” global_colors_info=”{}”]<\/p>\n

CLAIMExpert <\/span><\/strong>automatically processes 65 percent of incoming medical bills and non-medical documents with no user intervention. Documents requiring adjuster intervention are flagged and sorted for easy review and straightforward decision-making.<\/p>\n

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How Can CLAIMExpert Help You Reduce Costs?<\/h3>\n

[\/et_pb_text][et_pb_image src=”http:\/\/box5859.temp.domains\/~wcinsigh\/adaptiveprocessing\/wp-content\/uploads\/2022\/08\/divider2.png” title_text=”divider2″ align=”center” admin_label=”Image” _builder_version=”4.17.6″ _module_preset=”default” width=”90%” width_tablet=”35%” width_phone=”68%” width_last_edited=”on|tablet” module_alignment=”center” custom_margin=”||||false|false” custom_padding=”15px||||false|false” locked=”off” global_colors_info=”{}”][\/et_pb_image][ba_video_popup use_overlay=”off” icon=”4″ video_link=”https:\/\/www.youtube.com\/watch?v=KQwJwkuANAE” icon_color=”#249444″ icon_size=”80px” _builder_version=”4.17.6″ _module_preset=”default” custom_padding=”50px||||false|false” global_colors_info=”{}”][\/ba_video_popup][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”on|tablet” _builder_version=”4.17.6″ _module_preset=”default” background_enable_color=”off” background_enable_image=”off” custom_padding=”50px||150px||false|false” custom_padding_tablet=”60px|20px|80px|20px|false|true” custom_padding_phone=”||50px||false|false” da_disable_devices=”off|off|off” global_colors_info=”{}” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” da_dark_close=”off” da_not_modal=”on” da_is_singular=”off” da_with_loader=”off” da_has_shadow=”on”][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ make_equal=”on” custom_padding_last_edited=”on|tablet” _builder_version=”4.17.6″ _module_preset=”default” use_background_color_gradient=”on” background_color_gradient_direction=”160deg” background_color_gradient_stops=”#0a50a0 0%|#249444 100%” width=”100%” custom_padding=”60px|80px|50px|80px|false|false” custom_padding_tablet=”50px|30px|40px|30px|false|true” custom_padding_phone=”50px|30px|40px|30px|false|true” custom_css_main_element=”align-items: center;” border_radii=”on|20px|20px|20px|20px” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.17.6″ _module_preset=”default” global_colors_info=”{}” custom_css_main_element_last_edited=”on|tablet” custom_css_main_element_tablet=”width:55%;||display:flex;||align-content:center;||align-items:center;” custom_css_main_element_phone=”width:55%;||display:flex;||align-content:center;||align-items:center;”][et_pb_text _builder_version=”4.17.6″ _module_preset=”default” header_font=”Archivo|700|||||||” header_text_align=”center” header_text_color=”#121212″ header_font_size=”65px” header_line_height=”75px” header_2_font=”Archivo|700|||||||” header_2_text_color=”#121212″ header_2_font_size=”48px” header_2_line_height=”58px” header_3_font=”Archivo||||||||” header_3_text_color=”gcid-8175ac69-2dc3-4012-be50-f344a7a14a05″ header_3_font_size=”36px” header_3_line_height=”46px” header_4_font=”Archivo|600|||||||” header_4_text_color=”#FFFFFF” header_4_font_size=”36px” header_4_line_height=”39px” text_orientation=”center” width=”100%” max_width=”744px” custom_margin=”0px|0px|0px|0px|false|false” custom_padding=”0px|0px|0px|0px|false|true” header_4_font_size_tablet=”24px” header_4_font_size_phone=”24px” header_4_font_size_last_edited=”on|tablet” header_4_line_height_tablet=”36px” header_4_line_height_phone=”36px” header_4_line_height_last_edited=”on|tablet” global_colors_info=”{%22gcid-8175ac69-2dc3-4012-be50-f344a7a14a05%22:%91%22header_3_text_color%22%93}”]<\/p>\n

Interested in Learning More?<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.17.6″ _module_preset=”default” global_colors_info=”{}” custom_css_main_element_last_edited=”on|tablet” custom_css_main_element_tablet=”width:45%;” custom_css_main_element_phone=”width:45%;”][et_pb_button button_url=”@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjEzNjYifX0=@” button_text=”Contact Us” button_alignment=”right” button_alignment_tablet=”right” button_alignment_phone=”left” button_alignment_last_edited=”on|phone” _builder_version=”4.17.6″ _dynamic_attributes=”button_url” _module_preset=”default” custom_button=”on” button_text_size=”26px” button_text_color=”gcid-b454ebfe-4dda-403e-898c-b66bec323365″ button_bg_color=”#FFFFFF” button_border_width=”1px” button_border_radius=”0px” button_font=”Roboto|500|||||||” button_use_icon=”off” custom_margin=”0px||10px||false|false” custom_padding=”13px|18px|13px|18px|true|true” global_colors_info=”{%22gcid-b454ebfe-4dda-403e-898c-b66bec323365%22:%91%22button_text_color%22%93,%22gcid-8175ac69-2dc3-4012-be50-f344a7a14a05%22:%91%22button_bg_color__hover%22%93,%22gcid-9f84015b-705e-47fa-84a3-04a0cb0e8c46%22:%91%22button_text_color__hover%22%93}” button_bg_color__hover_enabled=”on|hover” button_bg_color__hover=”#ffffff” button_bg_enable_color__hover=”on” button_text_color__hover_enabled=”on|hover” button_text_color__hover=”#121212″][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”on|tablet” module_id=”odg_scoring” _builder_version=”4.17.6″ _module_preset=”default” background_color=”rgba(245,245,245,0)” background_enable_image=”off” custom_padding=”||50px||false|false” custom_padding_tablet=”0px||80px||false|false” custom_padding_phone=”|15px|50px|15px|false|true” da_disable_devices=”off|off|off” border_radii=”off||||” global_colors_info=”{}” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” da_dark_close=”off” da_not_modal=”on” da_is_singular=”off” da_with_loader=”off” da_has_shadow=”on”][et_pb_row use_custom_gutter=”on” gutter_width=”1″ make_equal=”on” _builder_version=”4.17.6″ _module_preset=”default” width=”100%” custom_padding=”0px||0px||false|false” custom_css_main_element=”flex-wrap: wrap;||align-items: center;” locked=”off” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.17.6″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.17.6″ _module_preset=”default” header_font=”Archivo|700|||||||” header_text_align=”center” header_text_color=”#121212″ header_font_size=”65px” header_line_height=”75px” header_2_font=”Archivo|700|||||||” header_2_text_color=”#121212″ header_2_font_size=”54px” header_2_line_height=”64px” text_orientation=”center” width=”100%” max_width=”744px” custom_margin=”||||false|false” custom_padding=”||||false|true” hover_enabled=”0″ header_2_font_size_tablet=”30px” header_2_font_size_phone=”28px” header_2_font_size_last_edited=”on|tablet” header_2_line_height_tablet=”40px” header_2_line_height_phone=”38px” header_2_line_height_last_edited=”on|tablet” header_4_font_size_tablet=”” header_4_font_size_phone=”28px” header_4_font_size_last_edited=”on|phone” custom_css_main_element=”width: fit-content;||margin-left: auto;||margin-right: auto;” global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n

Related Services<\/h2>\n

[\/et_pb_text][et_pb_image src=”http:\/\/box5859.temp.domains\/~wcinsigh\/adaptiveprocessing\/wp-content\/uploads\/2022\/08\/divider.png” title_text=”divider” align=”center” admin_label=”Image” _builder_version=”4.17.6″ _module_preset=”default” width=”100%” width_tablet=”30%” width_phone=”30%” width_last_edited=”on|tablet” custom_margin=”25px||||false|false” custom_margin_tablet=”-10px||||false|false” custom_margin_phone=”-10px||||false|false” custom_margin_last_edited=”on|tablet” custom_padding_tablet=”||||false|false” custom_padding_phone=”||||false|false” custom_padding_last_edited=”on|tablet” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″][\/et_pb_image][et_pb_text admin_label=”Text” _builder_version=”4.17.6″ _module_preset=”default” text_font=”Roboto||||||||” text_text_color=”#272727″ text_line_height=”30px” header_font=”Archivo|700|||||||” header_text_align=”left” header_text_color=”#121212″ header_font_size=”65px” header_line_height=”75px” header_5_font=”Roboto||||||||” header_5_text_align=”left” header_5_font_size=”24px” header_5_line_height=”28px” text_orientation=”center” width=”100%” max_width=”668px” module_alignment=”center” custom_padding=”50px||||false|false” hover_enabled=”0″ global_colors_info=”{}” text_font_size=”22px” sticky_enabled=”0″]<\/p>\n

APS offers several services to be incorporated into CLAIMExpert, but if desired will enhance your claims operations separately as standalone upgrades<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ make_equal=”on” custom_padding_last_edited=”on|tablet” _builder_version=”4.17.6″ _module_preset=”default” width=”100%” custom_margin=”0px||0px||true|true” custom_padding=”60px|0px|0px|0px|false|true” custom_padding_tablet=”60px|20px|0px|20px|false|true” custom_padding_phone=”40px|0px||0px|false|true” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.17.6″ _module_preset=”default” custom_padding=”|25px|||false|false” custom_css_main_element=”width: 45% !important;||align-items: center;||display: flex;||” global_colors_info=”{}” custom_css_main_element_last_edited=”on|phone” custom_css_main_element_phone=”width: 100% !important;” custom_css_main_element_tablet=”width: 45% !important;||align-items: center;||display: flex;||”][et_pb_image src=”http:\/\/box5859.temp.domains\/~wcinsigh\/adaptiveprocessing\/wp-content\/uploads\/2022\/08\/odg-scoring-image.png” title_text=”odg-scoring-image” align=”right” _builder_version=”4.17.6″ _module_preset=”default” width=”100%” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][et_pb_column type=”1_2″ admin_label=”Column” _builder_version=”4.17.6″ _module_preset=”default” custom_padding=”|||25px|false|false” custom_padding_tablet=”|||25px|false|false” custom_padding_phone=”|||0px|false|false” custom_padding_last_edited=”on|phone” custom_css_main_element=”width: 55% !important;” global_colors_info=”{}” custom_css_main_element_last_edited=”on|phone” custom_css_main_element_phone=”width: 100% !important;” custom_css_main_element_tablet=”width: 55% !important;”][et_pb_text _builder_version=”4.17.6″ _module_preset=”default” header_font=”Archivo|700|||||||” header_text_align=”left” header_text_color=”#121212″ header_font_size=”65px” header_line_height=”75px” header_2_font=”Archivo|700|||||||” header_2_text_color=”#121212″ header_2_font_size=”54px” header_2_line_height=”64px” header_3_font=”Archivo|700|||||||” header_3_text_color=”gcid-9f84015b-705e-47fa-84a3-04a0cb0e8c46″ header_3_font_size=”36px” header_3_line_height=”46px” header_4_font=”Archivo|600|||||||” header_4_text_color=”#000000″ header_4_font_size=”36px” header_4_line_height=”39px” custom_margin=”||-18px||false|false” custom_padding=”||0px||false|false” header_4_font_size_tablet=”22px” header_4_font_size_phone=”22px” header_4_font_size_last_edited=”on|tablet” header_4_line_height_tablet=”32px” header_4_line_height_phone=”32px” header_4_line_height_last_edited=”on|tablet” global_colors_info=”{%22gcid-9f84015b-705e-47fa-84a3-04a0cb0e8c46%22:%91%22header_3_text_color%22%93}”]<\/p>\n

ODG Scoring<\/h4>\n

[\/et_pb_text][et_pb_image src=”http:\/\/box5859.temp.domains\/~wcinsigh\/adaptiveprocessing\/wp-content\/uploads\/2022\/08\/divider.png” title_text=”divider” _builder_version=”4.17.6″ _module_preset=”default” width=”100%” max_width=”222px” max_width_tablet=”36%” max_width_phone=”36%” max_width_last_edited=”on|tablet” custom_padding=”10px||||false|false” custom_padding_tablet=”5px||||false|false” custom_padding_phone=”5px||||false|false” custom_padding_last_edited=”on|tablet” global_colors_info=”{}”][\/et_pb_image][et_pb_text _builder_version=”4.17.6″ _module_preset=”default” text_font=”Roboto||||||||” text_text_color=”#000000″ text_line_height=”26px” header_font=”Archivo|700|||||||” header_text_align=”left” header_text_color=”#121212″ header_font_size=”65px” header_line_height=”75px” header_5_font=”Roboto||||||||” header_5_text_align=”left” header_5_font_size=”24px” header_5_line_height=”28px” custom_padding=”20px||||false|false” text_font_size_tablet=”14px” text_font_size_phone=”14px” text_font_size_last_edited=”on|tablet” text_line_height_tablet=”24px” text_line_height_phone=”24px” text_line_height_last_edited=”on|tablet” global_colors_info=”{}”]APS has partnered with MCG to embed their Official Disability Guidelines (ODG) into our systems. This integration continually cross-references claims against the ODG knowledge base to determine if claims are performing accurately and notifies adjusters when action is required. <\/p>\n

By using these evidence-based guidelines, you can get your claims and spending under control.<\/p>\n

ODG Scoring is integrated in CLAIMExpert and is available as a standalone upgrade to enhance your claims operations.[\/et_pb_text][et_pb_blurb image=”http:\/\/box5859.temp.domains\/~wcinsigh\/adaptiveprocessing\/wp-content\/uploads\/2022\/08\/right-circle.png” icon_placement=”left” image_icon_width=”20px” _builder_version=”4.17.6″ _module_preset=”default” body_font=”Roboto||||||||” body_text_color=”#000000″ body_line_height=”26px” custom_margin=”0px|0px|0px|-30px|true|false” custom_margin_tablet=”0px|0px|0px|0px|true|false” custom_margin_phone=”0px|0px|0px|0px|true|false” custom_margin_last_edited=”on|tablet” custom_padding=”15px|0px||0px|false|false” animation=”off” header_font_size_tablet=”16px” header_font_size_phone=”16px” header_font_size_last_edited=”on|tablet” body_font_size_tablet=”14px” body_font_size_phone=”14px” body_font_size_last_edited=”on|tablet” body_line_height_tablet=”24px” body_line_height_phone=”24px” body_line_height_last_edited=”on|tablet” global_colors_info=”{}”]<\/p>\n

The power of APS\u2019 business rules and workflow automation tools coupled with ODG\u2019s comprehensive guidelines.<\/p>\n

[\/et_pb_blurb][et_pb_blurb image=”http:\/\/box5859.temp.domains\/~wcinsigh\/adaptiveprocessing\/wp-content\/uploads\/2022\/08\/right-circle.png” icon_placement=”left” image_icon_width=”20px” _builder_version=”4.17.6″ _module_preset=”default” body_font=”Roboto||||||||” body_text_color=”#000000″ body_line_height=”26px” custom_margin=”0px|0px|0px|-30px|true|false” custom_margin_tablet=”0px|0px|0px|0px|true|false” custom_margin_phone=”0px|0px|0px|0px|true|false” custom_margin_last_edited=”on|tablet” custom_padding=”15px|0px||0px|false|false” animation=”off” body_font_size_tablet=”14px” body_font_size_phone=”14px” body_font_size_last_edited=”on|tablet” body_line_height_tablet=”24px” body_line_height_phone=”24px” body_line_height_last_edited=”on|tablet” global_colors_info=”{}”]<\/p>\n

States adopting ODG have seen huge reductions in medical costs, lost time\/disability, treatment delays and premiums.<\/p>\n

[\/et_pb_blurb][et_pb_blurb image=”http:\/\/box5859.temp.domains\/~wcinsigh\/adaptiveprocessing\/wp-content\/uploads\/2022\/08\/right-circle.png” icon_placement=”left” image_icon_width=”20px” _builder_version=”4.17.6″ _module_preset=”default” body_font=”Roboto||||||||” body_text_color=”#000000″ body_line_height=”26px” custom_margin=”0px|0px|0px|-30px|true|false” custom_margin_tablet=”0px|0px|0px|0px|true|false” custom_margin_phone=”0px|0px|0px|0px|true|false” custom_margin_last_edited=”on|tablet” custom_padding=”15px|0px||0px|false|false” animation=”off” body_font_size_tablet=”14px” body_font_size_phone=”14px” body_font_size_last_edited=”on|tablet” body_line_height_tablet=”24px” body_line_height_phone=”24px” body_line_height_last_edited=”on|tablet” global_colors_info=”{}”]<\/p>\n

Claims are continuously monitored against guidelines, if anything is out-of-the-ordinary adjusters will know<\/p>\n

[\/et_pb_blurb][et_pb_text _builder_version=”4.17.6″ _module_preset=”default” text_font=”Roboto||||||||” text_text_color=”#000000″ text_line_height=”26px” header_font=”Archivo|700|||||||” header_text_align=”left” header_text_color=”#121212″ header_font_size=”65px” header_line_height=”75px” header_5_font=”Roboto||||||||” header_5_text_align=”left” header_5_font_size=”24px” header_5_line_height=”28px” custom_padding=”20px||||false|false” text_font_size_tablet=”14px” text_font_size_phone=”14px” text_font_size_last_edited=”on|tablet” text_line_height_tablet=”24px” text_line_height_phone=”24px” text_line_height_last_edited=”on|tablet” global_colors_info=”{}”]<\/p>\n

Check out our ODG Overview<\/span><\/a> and download an easy one-page summary of the tool<\/p>\n

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Relative Risk level<\/h4>\n

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From MCG:<\/span><\/strong> Every claim is assigned a Risk Assessment Score (RAS) which changes as claim characteristics and comorbidities are added. The higher the score, the more closely adjusters should pay attention.<\/p>\n

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Taking an evidence-based approach to ensure successful claims management<\/strong><\/span><\/p>\n