What is DecisionUR?

DecisionUR is a cloud based solution that stores and utilizes state mandated evidence based medical guidelines to automate initial treatment reviews, and streamlines the entire UR Management process. DecisionUR was the first product on the market to offer an automated approval system that transmits requests directly to the appropriate URO and/or IRO.


Who Needs DecisionUR?

Payors, Self-Insured, Employers, TPA, Managed Care Organizations, IRO and URO are the ones that need DecisionUR.

How Does DecisionUR Work?

We configure a private label platform within days, based on your custom workflow and business process. We will help configure the necessary letter templates and assign necessary evidence based guidelines for your specific needs. All you need is browser and internet connectivity and you can start using the DecisionUR platform almost immediately from anywhere or anytime. You will be assigned an account manager and customer service representative for any questions or request.


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How Reliable and Secure is DecisionUR?

DecisionUR has been in production for 9 years with uptime of 99.99%. We support the highest level for Secured Socket Layer (SSL), Encryption at Rest and Role based security. We are also HIPAA and Sarbanes-Oxley Act Compliant.

DecisionUR Highlights

  • DecisionUR contains controls cost of UR, increases patient care, reduces fraud, and helps provide a better turnaround time.
  • Brings consistency to UR with easy to use Software as a Service (SaaS).
  • Access to Occupational Disability Guidelines, American College of Occupational Environmental Medicine, Medical Treatment Utilization Schedules, New York, Louisiana, Colorado evidence based medical guidelines.
  • Ability to create and store custom protocols to help develop appropriate automated approval processes.
  • Automated assignment to PEER/2nd level review based on your own business rules.
  • Digital collaboration tools- documents, alerts, diary notes, etc.
  • Integration with several ancillary partners like OneCall Medical, WellsComp, MyMatrixx, Align Direct and Express Script.
  • Integration with several bill review organizations like Mitchell, CompIQ, StrataCare, etc. to eliminate medical bill review leakage.
  • Ability to bridge most claims systems for accurate claim management.
  • Advance Reporting & Performance Matrix.





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For more information on DecisionUR please call our staff at 1-877-323-9903, option 7.


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