Treatment Management
Expedite claims by automating treatment coordination
Expedite claims where medical and/or pharmacy benefits are involved by helping to automatically guide individuals to high-performing providers, getting them their pharmacy card ASAP, reminding them of upcoming appointments, preparing them for appointments, and requesting that they share electronic copies of pertinent documents.
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Treatment management features:
Provider / Pharmacy Locator
Upload provider network/panel data, so care can be guided or directed where appropriate, and it’s easy to find the most convenient and highest-performing providers and pharmacies.
Pharmacy Card
Instantly and automatically deliver pharmacy card info over text, email, or in-app, and provide the opportunity to download their pharmacy card to their Apple or Google Wallet.
Appointment Reminders
Send automated appointment reminders (e.g., 3 days, 3 hours, and 30-minutes out) to reduce no-shows and ensure claims progress as efficiently as possible.
Appointment Prep
Automatically send configurable, rule-based, questions to prepare individuals for their upcoming appointments to help ensure they’re informed consumers of their care.
Appointment Follow-up
Automatically request individuals to electronically share select appointment insights, and possibly even copies of the documents they received at their last appointment, so these can be shared with their adjuster and/or case manager to help them provide more informed support and guidance.
Ready to improve your claim outcomes?
Join the growing number of carriers, employers, and TPAs using Gain Life's AI-enabled claims communication platform to save claim costs, improve efficiency, and provide a better claims experience for all parties.
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