Abstract:
The present invention relates to a method and system for enhanced medical triage in managed care plans that streamlines the conventional medical triage process and referral logic, sends only those insurance claims to an integrated case management system that require medical intervention, matches claims to the right resource at the right time, reduces the time needed to review lost time cases, lessens the number of unnecessary referrals or re-referrals, and further tailors the assignment process of medical insurance claims to medical personnel based on specific market and/or employer dedication.
Abstract:
The present invention relates to a method and system for virtual mentoring of a group of individuals based on the management of their work-related knowledge. According to the embodiments of the present invention, collective experience and intellectual capital of an organization and its personnel are efficiently and intelligently gathered to provide “just-in-time” training/mentoring of the organization's personnel to enhance job performance and satisfaction and to achieve Quality Management (QM) results/outcomes. The training/mentoring can be requested by or automatically provided to the personnel via various designated access locations.
Abstract:
The present invention relates to a method and system for enhanced medical triage in managed care plans that streamlines the conventional medical triage process and referral logic, sends only those insurance claims to an integrated case management system that require medical intervention, matches claims to the right resource at the right time, reduces the time needed to review lost time cases, lessens the number of unnecessary referrals or re-referrals, and further tailors the assignment process of medical insurance claims to medical personnel based on specific market and/or employer dedication.