DataMetrix released CASE platform for claims payment and in-depth clinical review

DataMetrix's newly released technology platform, CASE™, provides the industry with the ability to audit claims for payment accuracy through the integration of a fully automated rules engine with sub-second response capability and a proprietary format which triages claims targeted for in-depth clinical review.

The industry is confounded with a plethora of diverse services and technologies which aim to ensure the correct payment of claims. These offerings include both pre- and post-pay deployments, facility and physician-based services, and automated as well as manual processes. These are further supported by voluminous libraries of public and private edits, payment policies, fee schedules and complex provider specific reimbursement contracts. Management of these disparate systems is administratively burdensome, inefficient and costly.