Which edition is right for you?

Mavera DSS is offered in three editions to cover every insurer’s needs.

Essentials

If you require a secure and streamlined claims process supported by our medical advisors.

Digital case management
Template support for various claim types and insurance products
Communication and notifications
Process automation
Network of 300+ medical advisors
API for integration with your claims system
Single Sign-On (SSO)

Pro

If you have greater needs of decision support through AI and want to use your own medical advisors.

Includes Essentials, plus:

Management of your own medical advisors
Support for health insurance:
- Caregiver registry and caregiver reports
- AI assessment of medical necessity
Basic AI support for medical overview of the injured party:
- Timeline of medical events
- Relevance scoring
- Document classification
- ID verification
Dashboards for business insights

Complete

If you want a detailed overview of each case for quicker decisions. Premium also includes better analysis tools for deeper business insights and reports.

Includes Professional, plus:

Advanced AI support for a detailed medical overview of the injured party:
- Automatic summary of medical records
- Overview of diagnoses, treatments, medications, etc.
- Graphs of health markers
Advanced AI support for desktop assessments and preparation of cases for potential medical valuation by a doctor
Detailed claims report with aggregated data for better insight into your business

Complete features list

AI-powered medical overview

Claims management

Medical assessments

Medical network management

Performance management

Security and compliance

Integrations

Support

AI-powered medical overview

Quickly understand the claimant's medical background.

	Essentials	Pro	Complete
Timeline of medical events Chronologically displays the claimant’s medical history, with relevance scoring and filtering to highlight key entries. Direct links provide faster access to original documents.
Smart library Automatically organizes documents, displays the number of pages for each, helping you quickly locate relevant files to ensure all required documents are present.
ID verification Automatically confirms claimant identity, ensuring data integrity.
Document classification Organizes documents by type, simplifying navigation and highlighting any missing document types within the claim.
Relevance scoring Automatically highlights crucial medical events for faster, more focused review.
Automatic medical summary Summarizes critical medical information from documents, providing an overview of the injury and health history.
Document search* Easily find terms like diagnoses, ICD codes, treatments, or lifestyle factors within medical records. *Coming feature
Automatic lists Extracts and organizes lists of diagnoses, treatments, and medications, with timestamps showing the first and last mention in the documentation.
Graphs of health markers Visualizes health trends like blood pressure or liver values, offering insights into changes over time.

Claims management

Centralize your decision making and streamline collaboration.

	Essentials	Pro	Complete
Claims templates Gather diverse expert opinions by requesting evaluations from several medical advisors for a single claim, ensuring a comprehensive review.
Timeline of medical events Chronologically displays the claimant’s medical history, with relevance scoring and filtering to highlight key entries. Direct links provide faster access to original documents.
Notifications Automatic alerts based on claim status or important updates ensure you never miss a key event, helping you manage claims more efficiently.
Process automation Automates repetitive tasks, reducing manual work and allowing you to focus on more complex aspects of claims management.
Support for desktop assessments Allows claims handlers to carry out assessments independently from medical advisors, speeding up the claim review process.
Automatic assignment Automatically assign claims to the most qualified medical advisors based on expertise and availability, ensuring fast and accurate assessments.	Limited to Mavera DSS network of medical advisors	To both Mavera DSS network of medical advisors and internal doctors	To both Mavera DSS network of medical advisors and internal doctors
Request multiple assessments Gather diverse expert opinions by requesting evaluations from several medical advisors for a single claim, ensuring a comprehensive review.
Workflows for second opinions and additional information Simplify the process for obtaining second opinions or additional data, ensuring a smooth and thorough evaluation process.

Medical assessments

Receive timely, high-quality medical assessments from a certified network of medical advisors.

Essentials

Pro

Complete

Access to over 300 medical advisors

Instantly connect with a wide network of qualified medical advisors to obtain swift, reliable assessments for your claims.

Quality review of medical assessments

Ensure assessments meet high standards with regular quality reviews conducted by our dedicated team.

Medical network management

Efficiently manage your internal medical advisors and streamline the assessment process.

Essentials

Pro

Complete

Profile pages for medical advisors

certifications, and availability, minimizing administrative work and making it easier to find the right advisor for each case.

Rule-based quality workflows

Set up automated workflows that trigger quality checks on assessments, ensuring consistency while reducing manual effort.

Medical advisor performance reports

Get detailed insights into advisor performance, helping identify areas for improvement and ensure top-quality outcomes for claims.

Performance management

Gain a clear picture of your business with real-time metrics and analytics.

Essentials

Pro

Complete

Performance dashboards

Advisors can update their profiles, including expertise, certifications, and availability, minimizing administrative work and making it easier to find the right advisor for each case.

Power BI reports

Leverage Power BI for advanced data analytics, providing deeper insights into your claims business and performance.

At extra cost

Security and compliance

Ensure the safety and privacy of your data with industry-standard security protocols.

Essentials

Pro

Complete

ISO 27001 certified operations

Advisors can update their profiles, including expertise, certifications, and availability, minimizing administrative work and making it easier to find the right advisor for each case.

GDPR compliant workflows

We ensure compliance with European data privacy regulations, safeguarding sensitive information throughout the system.

Servers in EU/ESS

Mavera DSS is hosted on servers in Sweden by a partner certified under ISO 9001, 14001, 27001, and 22301, ensuring secure and resilient data handling.

Integrations

Connect Mavera DSS to your existing systems for unified workflows and enhanced productivity.

Essentials

Pro

Complete

API for claims system integration

Advisors can update their profiles, including expertise, certifications, and availability, minimizing administrative work and making it easier to find the right advisor for each case.

Single sign-on

We ensure compliance with European data privacy regulations, safeguarding sensitive information throughout the system.

Support

Receive comprehensive support services to ensure you get the most out of Mavera DSS.

Essentials

Pro

Complete

Customer success

Advisors can update their profiles, including expertise, certifications, and availability, minimizing administrative work and making it easier to find the right advisor for each case.

Technical support

We ensure compliance with European data privacy regulations, safeguarding sensitive information throughout the system.

Discover Mavera DSS

Learn how Mavera DSS can help you make more efficient and accurate decisions.

Discover Mavera DSS

Ready to explore Mavera DSS?

Talk to our solution experts to get a guided tour and see if Mavera DSS is a good fit for your organization.

For other questions, please email hello.nordics@verisk.com.