Find the critical data you need at FNOL (first notice of loss) to help complete claims quickly and spot potential fraud. Decision Net® helps fill in the gaps with supplemental claims information from best-in-class sources. This extensive resource helps claims teams improve decision making, expedite meritorious claims, and increase the impact of SIU referrals.
Incomplete and inaccurate claim information leads to longer cycle times, higher costs, and inefficient processes. Learn how Decision Net helps claims handlers and SIU professionals access missing information quickly so they can process claims faster and improve investigations.
Decision Net is part of a full suite of claims solutions that provide compliance, claims development, and deeper fraud analysis and tools.
Learn about four commonly overlooked blind spots that are critical to claims adjusting.
Decision Net seamlessly integrates with ClaimSearch, so adjusters can save time by accessing vital information within a single platform instead of searching several sources. The integrated workflow helps speed up claim review, resolution, and investigations.
Learn how weather data reports can help you better manage extreme weather events and verify losses.
Toolkits, a new feature in Decision Net, combines the targeted data reports needed for researching a workers’ compensation claim to create a single, detailed report. This feature helps adjusters and investigators save time by eliminating the need to run multiple reports for one claim.
With Decision Net, adjusters can quickly find suspicious information about a claimant or service provider to make more detailed and accurate referrals to SIU. SIU professionals can use the solution to augment fraud analysis and investigation.
Decision Net features more than 500 valuable reports from comprehensive data sets.
When an adjuster or SIU professional needs critical information for claim resolution or investigation, Decision Net is the one-stop shop for quality data. You can easily verify identities with Social Security numbers, addresses, phone numbers, and more—and access critical claims information from:
Insurers need to determine quickly and efficiently whether a claim is likely to be fraudulent—or if it can be fast-tracked for settlement. ClaimDirectorSM uses the power of predictive analytics to score claims with greater accuracy and reveal questionable attributes.
Discover the hidden connections among claimants, providers, and businesses to help identify organized insurance fraud. NetMap’s advanced analytics greatly enhance the SIU’s ability to discover fraud rings within their company’s claims. The software quickly evaluates claim information, public records, and other data to reveal patterns indicative of fraud.
Insurers need to detect unethical medical billing practices early to reduce claim leakage and process legitimate bills faster. MedSentry® uses predictive analytics and expert clinical analysis to uncover fraudulent medical provider fraud in your billing data. It also delivers detailed reports to help guide investigations.
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