Enhanced System Capabilities

Enhanced System Capabilities

On-site Medical Management

Utilizing our proprietary System, our On-site Medical Management Program for UR, CM, DM and Wellness Programs allows customers to present on-site, full medical management capabilities while obtaining the following support, expertise, and services:

  • Marketing and sales support, access to our Medical Director and panel of certified practicing physicians and specialists
  • Multiple URAC accreditations and compliance with HIPAA and Department of Labor compliance
  • Customized software systems and updates
  • Staffing and Training
  • TQM Programs

System Lease and Capabilities

Our proprietary clinical management system solution, automating data flow and connectivity between members, providers, TPAs and stop loss carriers- and improving service.

Features:

  • Automated high-risk case identification and notifications to TPA and MGU/carriers
  • Fully integrated Utilization Management, Case Management & Population Health Management clinical data exchange
  • Automated Member & provider letter library - flexible and customizable
  • Secure interface for authorization transmission to claims system
  • Client Portal allowing secure real-time access to clinical work, case status and reporting
  • HIPAA, PHI and HITECH compliant

Claims Analytic Tool: C.A.T.

C.A.T. is MedWatch’s proprietary data mining, analytics and reporting tool reporting on program impact and outcomes. Our rules engine combines evidence-based medicine supporting our clinical staff in providing impactful care coordination and outcomes. C.A.T. allows you to:

  • View group activity and trends at a glance
  • Displays group co-morbidities
  • Group medical claims summary
  • Individual patient medical and Rx claims detail
  • Assists with wellness campaigns to the member population.

Contact Us

For quick and easy contact, use the Contact Form!
Phone/Fax
: (800) 432-8421    : (407) 333-8928
Address
: MedWatch LLC
P.O. Box 952679
Lake Mary, FL 32795-2679
For Compliance concerns, please contact the MedWatch Compliance Department at 321-420-4150 or email ComplianceDept@urmedwatch.com
For Privacy concerns, please contact the MedWatch Compliance Department at 321-420-4150 or email ComplianceDept@urmedwatch.com