Building upon the foundation of their joint Medical Exposure Management collaboration, the organizations have begun development of their next set of combined offerings, including Mitchell's Auto Physical damage data and workflow and solutions aimed at medical provider fraud and abuse, says Mitchell.
The extended relationship promises to integrate Mitchell Decision Point, a first- and third-party liability medical bill review and workflow software with an expanded set of unique LexisNexis claims data and predictive analytics capabilities.
Mitchell says integrated solutions under development include tools to more effectively and automatically identify collusion; methods to better identify disparities between accident damage and medical treatment; and an approach that focuses on the early, accurate and consistent identification of potential fraud and abuse in first- and third-party medical claims within the P&C and workers' compensation markets.
Additionally, Mitchell says the two companies have worked together to develop LexisNexis Medical Exposure Management, powered by Mitchell, which addresses the unique challenges associated with the early identification and handling of severe auto injury and other difficult and expensive "special needs" claims situations. The Medical Exposure Management solution was designed to allow insurers to obtain the benefits from early clarity and insight into claim book severity, enabling them to handle these claims more efficiently, effectively and with higher levels of customer service.
