Under the terms of the agreement, Fair Isaac said its SmartAdvisor program will help the State Fund develop its workers’ compensation claims management infrastructure, generate additional cost savings and provide increased consistency and flexibility in the processing of medical bills each year.
The software will be utilized to automate the task of reviewing and repricing medical bills to state fee schedules and is expected to enable further savings through automated PPO discounts.
SmartAdvisor provides intelligent cost containment and automation tools that help the insurance industry build decision power, said Paul Perleberg, general manager of insurance and healthcare at Fair Isaac.
The product is available in licensed client/server and ASP configurations, and as an outsourced bill review service through the Fair Isaac Insurance Service Bureau.
