8 Provider Data Management Solutions to Help Get Injured Workers Back to Work

By April Stiles 

For Workers’ Compensation companies, providing immediate access to accurate and quality provider data is a critical step to get injured workers back to work quickly. By establishing an intuitive process to manage provider data, organizations can easily assist injured workers in locating quality providers on site, online or via mobile access so that they can seek medical treatment as soon as possible.
   
It is important to empower claims professionals and case managers with the digital solutions they need to optimize workflow, assist injured workers, and control medical claims costs.
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Here are eight solutions that can help organizations get injured workers back to work quickly.  

(1) Compliant & Innovative Provider Directory
Ensuring that injured workers can quickly access the care they need to return to work, is achieved by providing a provider directory solution with accurate data. The solution needs to comply with State specific and Federal requirements. Successful teams find that provider directories that not only accurate provider data but also include advanced filtering capabilities that apply pre-determined criteria to prioritize provider search results, effect outcomes and overall medical claims cost.

(2) Programmatic Provider Data Cleansing
Inaccurate provider data can lead to a frustrated injured worker and the possibility of attorney involvement.  When choosing a solution for cleansing and validating provider data, organizations should look to solutions that are:

• Programmatic and empowered by Machine Learning (ML) versus manual phone calls
• Collecting and aggregating providers from multiple sources in real time  
• Experiencing data logic, matching, de-duping and enrichment of provider data

(3) Fast Referral Management
Improve workflow and reduce medical claims costs with a cloud-based provider referral management portal that will seamlessly integrate all of your preferred vendor partners for over twenty (20) different service categories in one intelligent management portal. With the right solution you can optimize workflow and reduce the need to log into multiple vendor websites or sending email or fax referrals.

(4) Easy Digital Resource Access
Empower your claims professionals and nurse case managers with access to all their workers’ compensation internal resources and partners’ services. Improve productivity by keeping digital solutions at their fingertips. An intuitive portal can help to centralize all your claims and referral resources into one dashboard with easy, single sign on.  

(5) Accurate Panel cards & Worksite Poster
Accurate, state compliant panel cards and worksite posters are essential in getting injured workers to the right providers and reduce medical claims costs.  Reduce noncompliance risk and attorney involvement by choosing a partner who understands State specific requirements and can keep provider data accurate and up to date.

(6) Online chat
Enable a chat bot within your provider directory to assist injured workers with their decision making. Be sure to choose a chat bot that can manage a series of conversations, and answer questions through insightful interactions. A savvy chat bot can assist injured workers by engagingly pointing them to the best healthcare providers for their medical needs.

(7) Health Ticket
A great way to control medical claims costs is by providing electronic and hard copy Workers’ Compensation ID cards that display managed care and relevant information to the injured workers. Be sure to find a solution that gives you the ability to brand each health ticket with your logo, brand colors, and your preferred providers.

(8) Integration
Since data exists in many disparate systems it is important to stay connected! It is important to ensure rapid deployment of data solutions. Find a vendor/partner with the ability to leverage existing integrations with hundreds of companies that service the workers’ compensation market. 

Perspecta can has the expertise and solutions to help your Workers' Compensation organization improve workflow, reduce costs, and get injured workers back to work.

Learn more about Perspecta's Provider Data Management solution

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