Case Review Technology

 

Available to Concentra's affiliated physician reviewers is Advancer™, our company's proprietary, comprehensive medical claim management system. It supports medical and disability management professionals across multiple benefits systems, including physician review, auto managed care, workers' compensation, short- and long-term disability, absence management and group health.

This secure web-based system, which participating physicians enter using a username and password, is their direct data connection with Concentra's Physician Review program headquarters. In it, reviewers learn of new assignments, record medical notes, and record case status and closure information.

Screenshot of the Advancer programThis powerful on-line quality monitoring and reporting tool offers the following benefits to Physician Reviewers:

  • A robust data platform for managing medical claims

  • A suite of tools to multiple participants in the case management process, from first notice of loss through clinical management, through quality assurance and the generation of management reports

  • An environment for paperless, comprehensive, and automatic tracking of all activities involved in the management of medical care and return to work

  • Customized customer-specific instructions on-line, for special account handling, quality assurance indicators, correspondence, billing, report templates, auto-score calculator and analysis trending

Advancer™ also supports complex interface and communication with other Concentra technology products, including Web RePrice™, PPO/EPO, ClaimSight™, Concentra Infolink™, and ESP™ prospective fraud detection.