Quickly identify the best doctors for every claim

CLARA Treatment enlists artificial intelligence (AI) for medical provider performance scoring, optimizing claims management with predictive modeling based on thousands of closed claims.

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Optimize care selection for better claim and patient outcomes

CLARA Treatment applies machine learning to identify doctors who are consistently associated with prior positive outcomes, enhancing medical claims optimization.

Medical Provider Performance Scoring

Adjusters can see the medical provider performance scores relevant to that claim, across several treatment dimensions including overall cost, treatment duration, opioid usage, and much more to direct care to the best providers.

Evaluate New Providers That Join The Claim

CLARA Treatment gives adjusters a quick snapshot of which outcomes to expect so they can know whether to invest more time in the case, knowing that the injured worker will get the best care.

Optimize Care Networks

AI-driven provider scores assist in medical claims optimization by benchmarking care networks to spot quality gaps by specialty and location. Identify potential providers to bring into the network or use scores to identify and remove low-scoring providers.

Advanced Provider Scoring

Adjusters, Nurse Case Managers, and network optimization teams can now recommend the right doctor based off proven results for a specific injury, recognize when injured workers see low scoring doctors and redirect care, and ensure care networks are positioned to provide the best care for all claims.

Maximum Medical Claims Optimization

The average A-rated doctor is thousands of dollars less expensive than low-scoring E providers. Select the optimal provider among over 300k rated in our ever-expanding database, with medical provider performance scoring all based on real outcomes. The injured worker benefits by getting the best care available while you save on medical and indemnity expenses—a true win-win.

Augmented Intelligence For Your Casualty Claims Organization

CLARA Treatments helps mitigate medical cost inflation, opioid prescription abuse and rising litigation expenses. Empower your organization to play medical “Moneyball” and achieve the best outcomes for the insurer, insured and injured claimant with AI for medical claims adjusters.

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Key Benefits

Lower Medical Expenses
Decreased Claim Cycles & Return to Work Faster

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The Result?

Decrease in average # of medical visits
Increase Customer Satisfaction While Saving Loss Costs

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Ideal For

Claims Adjusters
Nurse Case Managers
Network Optimization Teams

Deliver Better Outcomes for Payers and Claimants

The right provider for the claim

CLARA Treatment displays a set of contributing factors and individual scores for each provider, so adjusters can see what led to the overall score for a specific case.

Unlock provider ratings nationwide

An intuitive UI makes providers easy to access any time, from any location. Adjusters can share insights with peers to get a second opinion from within the application and can download score reports to send to an injured worker to provide a better understanding of available treatment options.

Avoid medical escalations

CLARA Treatment’s predictive modeling for medical claims helps adjusters identify claims likely to increase in cost and complexity and take action.

CLARA Treatment deploys in weeks with little IT effort

CLARA Treatment has the flexibility to integrate with you

CLARA Treatment is secure with annual certifications

Easy To Deploy

Our cloud-based platform can be up and running in 8-12 weeks after historical data is received, including model tuning, alert configuration, and hands-on training for adjusters.

Seamless Workflows

Adjusters can access claims directly via our cloud-based module at any time from any location, or flex their existing systems with our pre-built APIs for simple integration.

Security Is Our Priority

Rest easy with HIPAA compliance, annual SOC 2 certification, and data encryption that meets or exceeds industry standards in safeguarding your data.

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Optimize claims outcomes with the power of AI

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