PrecisionDirect allows auto carriers to
improve payment accuracy for provider services
SAN DIEGO, June 20, 2024 /PRNewswire/ -- During claims
settlements busy adjusters often have neither the time or
experience to negotiate and pay providers directly on bodily injury
claims. Today, Enlyte is working to streamline that process by
launching PrecisionDirect, an integrated provider negotiations and
networks solution designed to free up adjusters to focus on claim
settlement while securing savings on these bills.
PrecisionDirect's purpose is to help provide auto carriers with
a way to improve payment accuracy on bills typically paid in full
to providers treating the injured parties. By leveraging two
methods of cost containment – the breadth of Coventry's network and
the expertise of negotiators – Enlyte is able to facilitate fair
and accurate bill payments.
Traditionally, adjusters wait to settle bodily injury claims
until the injured party has concluded medical treatment and
gathered their medical bills and records with the use of a signed
authorization. Once these steps have been completed, adjusters may
negotiate a settlement with the injured party. They then pay the
claimant directly for the full amount, including any applicable
general and special damages.
With PrecisionDirect, adjusters can send unpaid medical bills to
Enlyte's negotiations team through a variety of user-friendly
ingress points. Once received, the team of expert negotiators
initiates strategic, data-enhanced and prompt-pay negotiations by
directly contacting medical providers or their staff to obtain
contracted discounts on those bills. Information is also garnered
through the program's database to determine fair rates based on
previous agreements. If the negotiation is accepted, the team works
with the provider to execute a signed agreement that outlines the
agreed-upon amount and the terms of the negotiation.
"Negotiating medical bills of injured parties is a challenging
part of an adjuster's job," said Steve
Laudermilch, executive vice president and general manager of
casualty solutions. "PrecisionDirect takes that task off the desk,
combining technology and expertise to reach agreement with medical
providers on behalf of carriers. The negotiations service is a
powerful tool for reducing bottom-line bodily injury severity,
especially for liability claims that do not have attorney
representation.
"Carriers can confidently settle provider payments knowing they
are backed by direct auto contracts or signed negotiation
agreements, while also increasing adjuster efficiency," added
Laudermilch. "This solution also integrates with other bodily
injury liability solutions to help further streamline
workflows."
Click here to learn more about PrecisionDirect.
About Enlyte
Headquartered in San Diego, CA, Enlyte (www.enlyte.com) is the
parent company of Mitchell, Genex and Coventry, leaders in
cost-containment technology, provider and specialty networks, case
management services, pharmacy benefit and disability management.
The Enlyte businesses align their joint industry expertise and
advanced technology solutions in a combined organization of nearly
6,000 associates committed to simplifying and optimizing property,
casualty and disability claims processes and services.
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SOURCE Enlyte