Utilization Review Overflow Solution
Overflow Utilization Review Capacity When Volume Spikes
Add UR capacity fast by queue, state or review type, while staying aligned to your rules and documentation standards.
MORE UTILIZATION REVIEW SOLUTIONS
Who It’s For
- Claims operations leaders managing volume swings
- Clinical leaders dealing with staffing gaps
- Organizations that want surge support without sacrificing consistency
Benefits
- Protect turnaround time during spikes and backlogs
- Cover staffing gaps without permanent hiring risk
- Maintain consistency with your existing program rules
Features
Targeted Support by State and Review Type
Rapid Onboarding Aligned to Your Rules and Documentation Standards
Embedded Quality Controls Aligned to Your Program
Resources
Utilization Review Decision Manager (URDM)
Learn how URDM bridges the gap between utilization review and bill processing for better results.
Inside the Digital Shift of New York Workers’ Compensation
Explore the innovative digital transformation of New York's workers' compensation system with the NY Workers' Compensation Board's 2024 conference highlights.
Combatting New Jersey Auto Casualty Challenges
When an auto injury occurs, insurers—especially in New Jersey, where strict requirements apply—often struggle to coordinate with multiple vendors, a challenge addressed along with potential solutions by Ben Roberts, vice president of utilization review at Genex.
URAC Certification
Learn about our URAC accreditation.
Frequently Asked Questions
How fast can overflow support start?
Define scope and routing rules, then activate support based on readiness.
Can overflow support specific states only?
Yes. Overflow support can be scoped by jurisdiction and review type.
Will overflow follow our rules?
Yes. Overflow support is aligned to your documentation standards and program rules.
How do we scale down?
Once volume stabilizes, reduce scope or turn off overflow support.
Let’s Connect
Let’s collaborate to see how we can provide your organization with an effective, efficient and compliant utilization review solution.