Claims Management: MLR Bottleneck Assessment

8 questions. 1 minute.

Claims Management: MLR Bottleneck Assessment

Check every statement that is true of your current claims management process today. Select at least one, then see your score and where it impacts speed of MLR review.

Claims libraries are not available to compare working content to approved messagesClaims are manually checked for substantiation against reference documentsImproperly linked and anchored claims increase review timeOur agency resubmits content that is not substantiated or consistent with the labelingReviewers spend meaningful time re-explaining the same concerns across different piecesClaims libraries live in spreadsheets or shared drives rather than in one system of recordDifferent reviewers interpret the same claim language inconsistentlyContent goes into MLR review without a precheck against approved claims

0 of 8 selected