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Medical case management utilization management tool like [login to view URL] [login to view URL] Utilization and Case Management Functionality: Full featured care management and authorization tools Customizable views of your cases and authorizations allow you to present what your users need most effectively Unified (not integrated) with HSP Meditrac Claims Adjudication including real time view of benefit plans and utilizations Embedded view of medical claims, diseases, pharmacy scripts, and lab data Full notes capabilities Content and workflow management authoring tools (allowing you to define, copy, edit, and update business rules that align program-specific materials, interventions, talking points and correspondence to the appropriate health and wellness, case, or disease management activity) User defined rule based workflows for all care management activities including polling and supervisory control Workflows include communication by mail or fax; letter, email and web portal applications. Integrated time management and reporting Leverage your own clinical content or use our integrated view of Interqual or Milliman criteria Ability to administer user defined Health Risk Assessments and other questionnaires Real time disease identification according to HCCs and User Defined criteria and elevation to case management Schedule tasks at desired frequencies to assign events to users for follow-up based on a variety of criteria including diagnoses, claims, or other user defined criteria. Realtime productivity and operational reports as well as a data mart integrated with claims data for advanced analytics Support for HEDIS and other quality reporting measures Exchange data electronically for authorizations, lab, and pharmacy information Web interface for providers