accūrō Solutions
Simplifying Medical Claims Processing Workflows in Workers’ Compensation and Auto Liability

Medical bill review and claims processing workflow is typically document intensive. It involves many people across different payer teams validating multiple pieces of information, including extensive unstructured data from reports, images, emails, and other supporting documents.

Although modern workflow tools and methodologies can streamline these tasks, they are often stuck within established processes and procedures, and users find it challenging to work outside those parameters. The onus is on users to ditch their habitual regime and embrace the new approach present in the latest tools. This can actually make the claims workflow more complex than it already is.

Understanding these challenges, a few industry veterans seeking a smarter approach established accūrō Solutions. Using their industry knowledge and experience, they built an intuitive workflow solution from the ground up that resonates with insurance claims adjusters.

accūrō leveraged years of payer and industry partnership experience in the development of its technology. “Our solution is for the payers, by the payers,” explains Steve Junker, CIO of accūrō Solutions. “Our platform is developed in-house; we did not buy, co-opt, or adapt it from an existing solution in the market.”

But accūrō is not a standalone workflow service provider; it offers a holistic medical claims management platform from mailroom to provider payment. Through its ARC platform—which stands for automation, reliability, and collaboration—helps payers optimize workflow efficiencies while bringing in more savings.

The solution differentiates itself through its claims status-based architecture of modes and actions. It doesn’t offer the same-old big toolbox of confusing features. Instead, the system provides the claims adjuster a list of actions based on the claim’s status or a bill’s position in the workflow. That way, users can access the precise set of tools needed to work on the bill through the workflow—the right tool at the right time.

"Our solution also has the prescriptive ability to inform adjusters managing the claims the best action to take to ensure that medical payments are made timely and appropriately,” says George Furlong, Chief Strategy Officer of accūrō Solutions, highlighting its other key advantage.

Another feature of accūrō’s program is the ability to import client’s historical payment data into its data warehouse, allowing accūrō to provide clients with ongoing trend reporting. accūrō can examine specific types of medical bills coming through the systems, and the services within those bills, to ensure its clients are getting the best unit costs.

Our solution is for the payers, by the payers. It is developed in-house; we did not buy, co-opt, or adapt it from an existing solution in the market

Onboarding and upgrading accūrō’s best-in-class technology platform is as convenient as its features. It’s easy API integration lets accūrō achieve shorter release cycles. It uses the API facet to constantly modernize its UI components and deliver more features quickly with fewer bugs.

In one instance, its values and services helped a client approve their digital bills faster. accūrō used the data elements from the bill to adjust the workflow and set it according to the client. The company also added additional network solutions and helped the client design a cost-reduction methodology on bills to achieve better results for their customers.

Driven by these successes, accūrō Solutions lives up to its Latin meaning, “to perform one’s responsibilities with care.” Decades of leadership experience, market-leading proprietary software, and unparalleled client support will continue helping accūrō drive its uniqueness in medical payment processing and workflows.