PDA (Pharmaceutical Diagnostic Analysis)
PDA is a powerful tool designed to reduce the time and costs associated with investigating bodily injury claims, and eliminate payment for unrelated injuries.
PDA provides real-time access to clinical information about a claimant. Individual medical information is electronically retrieved from many disparate sources and delivered instantly to claims and legal professionals. PDA can be ordered and received electronically via the Web, or delivered right into claims management systems. This allows claims professional to confirm the veracity of claimant information, discover undisclosed doctors and conditions, and direct investigations that provide the best defense for its insureds.
| Attention: Before this product can be implemented, patient medical authorization must be in compliance with HIPAA regulations. |
Features:
PDA provides a 5-year medical profile on an individual. Included in the profile:
- Treating doctors name, address, phone number, specialty
- List of medications and their indications
- Dosage, days supply
- Date and number of refills
- Physician Desk Reference abstract
- Pharmacy name and location
- Predictive diagnosis
Carriers use PDA to reduce time and costs associated with claims investigation and payments. Today, PDA is effective for:
- Smart medical record ordering
- Target the right medical records
- Reduce number of routine medical records ordered
- Identifying undisclosed doctors
- Validating claimants allegations relative to pre-existing conditions
- Eliminate expensive claims techniques, such as pharmacy and hospital searches
- Reduce diary size by closing cases more quickly
In addition, PDA allows carriers to improve its competitiveness:
- Competitive advantage
- Improve insureds claims history
- Provide better claims results and SIU success
- Reduce loss ratio
- Eliminate payment for fraud claims
- Reduce payment for exaggerated or unrelated injuries
- Translate savings into better margin or more aggressive premium pricing
- Reduce claim cost by maximizing offsets and recoveries
PDA
