What We Do

EXL’s MedConnectionSM* platform helps insurers improve productivity for adjusters, legal staff, and nurses. This web-based tool offers easy integration with existing systems and no upfront capital expenditure. MedConnection also provides unique data sets for analytics while serving as a secure repository for collaboration and streamlined decision making.

MedConnection provides an interactive option for viewing or configuring items including the Patient Snapshot, Treatment Review, Calendar, and Records Index.

Patient Snapshot
The Patient Snapshot is essentially a summary of all of the key factors involved in the medical records and bills received.
Treatment Review
The Treatment Review is a chronological view of each patient visit including diagnosis, diagnostic codes and findings during the examination.

The findings and plan are further differentiated in SOAP fashion -subjective complaints, objective complaints, assessment and plan.
Records Index
The Record Index is a sorted listing of each medical record using standard naming conventions. The records are arranged chronologically and can be viewed or downloaded individually or as a zip file.
Summary PDFs
The Summary includes: actionable landing page detail, procedures, diagnostic testing completed, and pre-DOL and post-DOL medications.

Summary PDFs are simplified for adjusters using inline highlights and tags.

Solution Highlights

 

Client Testimonial: Profiting from MedConnection

We had a challenging and complex claim and using EXL’s MedConnection was highly beneficial to us. We had a claim for a woman with hurt knee and ankle who underwent 3 surgeries. The bills were sent to an adjuster over several months and were a disaster to follow. The claimant had said that the medications were over $100,000. After submitting to EXL, they found that only $42,118 was incurred with $22,562 written off. The net amount of specials was $16,250. We had limits of $500,000 and EXL’s MedConnection helped us settle for $65,000.

District Claims Manager | Auto, Home & Life Insurance Company

 

 

 

Resources

 

Leadership

Christopher V Tidball

Vice President - Sales and Claims Transformation Strategy


Chris' career has spanned 25 years, from field adjuster to claims executive with leading insurers AIG and Progressive Insurance. Chris is the author of multiple books, both fiction and non-fiction, including Re-Adjusted: Taking Your Claims Organization from Ordinary to Extraordinary! He is a graduate of Arizona State University, a Senior Claims Law Associate and Six Sigma Black Belt. He can be reached at Christopher.Tidball@exlservice.com or (904) 742-9031.

 

Note: * – Patent Pending

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