Access to new analytical tools expected to help auto insurance carriers optimize claim decisions

AUSTIN, Texas, March 23, 2023 /PRNewswire-PRWeb/ — ODG by MCG, an MCG Health company and part of the Hearst Health network, announces that state-specific fee schedules and commercial health claims data are now available in its ODG for Auto Injury solution. The new enhancements are expected to help auto insurance carriers simplify billing processes and provide better support for claim decisions.

ODG for Auto Injury, an evidence-based software platform launched by ODG in 2021, now offers state-specific fee schedules for auto insurance carriers to reference and compare costs against. The detailed schedules can be filtered by region, rate modifiers, types of service, and places of service. This new feature is designed to help auto insurance adjusters and claim processors work more efficiently and accurately reference costs during the billing process. This feature will be offered for all states where auto fee schedules are currently published including Florida, Hawaii, Michigan, New Jersey, New York, Oregon, Pennsylvania, and Utah.

The additional access to commercial health claims data in ODG for Auto Injury will offer its end users the ability to see critical differences in duration and cost among various types of claims. The software interface provides this data in interactive dashboards so users can switch between commercial and property/casualty datasets. By using commercial health data as a reference point, claims professionals can anchor claim expectations and provide negotiation points to bridge gaps in difficult cases.

ODG for Auto Injury Product Owner, CJ Hallas, shared, “The fee schedules and commercial health data features will be incredibly insightful for auto carriers to accurately forecast claim costs and durations.” He added, “Having access to this information will be valuable to helping insurers, clinicians, and claims management professionals set proper expectations, streamline negotiations, and guide appropriate claim decisions, including automation to flag claims and bills outside expectations.”

For additional information or questions about this update, please contact an ODG representative at 1-800-488-5548 or odghelp@mcg.com.

About ODG
ODG, an MCG Health company, (http://www.mcg.com/odg) provides unbiased, evidence-based guidelines that support workers’ comp, disability, and auto liability claims and medical management in their efforts to confidently and effectively return people to health. The clinical guidelines and analytical tools within ODG are designed to improve and benchmark return-to-work performance, facilitate quality care while limiting inappropriate utilization, assess claim risk for interventional triage, and set reserves based on industry data.

About MCG
MCG, part of the Hearst Health network, provides unbiased clinical guidance that gives healthcare organizations confidence in delivering patient-centered care. MCG’s artificial intelligence and technology, infused with clinical expertise, enable its clients to prioritize and simplify their work. MCG’s world-class customer service ensures that clients maximize the benefits of licensing MCG solutions – demonstrating improved clinical and financial outcomes. For more information visit http://www.mcg.com or follow our Twitter handle at @MCG_Health.

Media Contact

Arri Burgess, ODG by MCG, (206) 389-5405, Arri.Burgess@mcg.com

SOURCE ODG by MCG