Question: Do you know of a healthcare management platform that integrates with medical process management and supports adjusters in managing medical reviews?

If you're looking for a healthcare management platform that integrates with medical process management and supports adjusters in managing medical reviews, DataCare could be a good choice. DataCare provides a range of HIPAA-compliant and SOC 2-certified tools to help streamline case management, utilization review and workers' compensation. It includes tools for managing medical reviews and integrating guidelines, designed to automate administrative tasks and improve operational efficiency while maintaining compliance.

Another good option is Cohere Health with its utilization management solution, Cohere Unify. The platform is designed to modernize prior authorization with automation and AI support. It includes tools to digitize prior authorization requests, automate decision-making and manage review queues. That could help cut administrative costs and improve patient care by getting them access to medical services faster.

If you're looking for a more complete health cloud platform, check out Innovaccer. It aggregates health data and provides advanced analytics and applications to help improve clinical and financial outcomes. Innovaccer's suite includes tools for care management, digital solutions and population health management, which can help adjusters manage medical reviews and improve patient care through whole-person care.

If you need a platform that handles documentation, coding and revenue cycle management, DeliverHealth is worth a look. Its eSOne InstaNote solution automates healthcare documentation and coding, freeing up a lot of administrative time and money. With AI-powered coding and revenue cycle management, DeliverHealth can help streamline medical review processes and improve overall healthcare management.