Pre-Authorization Leads to an Improved Claimant Experience
Insurance companies administering automobile no-fault or workers’ compensation claims are likely to understand the importance of ensuring a good experience for claimants. Yet this priority can sometimes be placed on the back burner because there are many competing, and equally important, priorities within each claim your company administers. However, it is crucial to continually look for ways to improve your claimants’ experience, even as your adjusters and examiners face multiple tasks with each claim.
Improve your claimants’ experience
For instance, one of many ways to improve the claimant experience centers on pre-authorization. At Northwood, pre-authorization is implemented on every claim it administers for its insurance company partners. This is because Northwood’s experience of over 30 years in the industry has proven that pre-authorization is a process that can impact both your claimants and your insurance company in a variety of ways.
Pre-authorization means that every physician prescribed service is reviewed by Northwood before reaching the claimant. This helps ensure that all prescriptions are appropriate for each individual claimant, which can mean a decrease in safety incidents from situations like medication interactions, for example. This review process also assures that all physician prescribed services are directly related to the injuries a claimant sustained from their claim.
These results benefit your insurance company, of course, through decreasing the cost of claims. Pre-authorization virtually eliminates unnecessary provider invoices for medications and durable medical equipment, prosthetics, orthotics and medical supplies (DMEPOS) that are not injury related.
Yet pre-authorization also means your claimants experience several benefits. Because their physician prescribed services will have all been reviewed and approved, your claimants will not need to pay out of their own pocket when they use a provider within Northwood’s network. It can be costly for claimants to pay outright for medications or DMEPOS, so this is a huge convenience for your claimants alone. However, no out-of-pocket cost also means that all reimbursement paperwork is eliminated. This saves your claimants considerable time and frustration, as many of them are not familiar with the claims process and may find reimbursement requests tedious or difficult.
As a durable medical equipment, prosthetics, orthotics and medical supplies (DMEPOS), pharmacy and ancillary service provider, Northwood understands the importance of pre-authorization and how it can improve the claimant experience. In addition, over its more than three decades in the industry, Northwood prides itself on offering excellent claimant care in a multitude of other ways, such as its claimant care line with local staff members who are knowledgeable and helpful.
Improve claimant satisfaction
For a deeper dive into how pre-authorization and other Northwood processes can improve your claimants’ experience, please schedule a call with Rosanne Brugnoni by calling 586-755-3830 ext. 3771.