One decision engine — configured to the workflows of providers, payers, and the teams between them.
Move from reactive concurrent review to continuous, real-time evaluation. Catch documentation gaps before they become avoided days, and standardize criteria adherence across every service line.
Apply consistent, transparent criteria across prior authorization, concurrent, and retrospective reviews — with provider-facing auditability that defuses appeals before they escalate.
Score denial risk before submission, generate submission-ready packets, and unlock single case agreements for out-of-network opportunities — without adding headcount.
Stop hunting through charts. Arc Care continuously evaluates orders, labs, vitals, and imaging — surfacing what meets criteria, what doesn't, and what's missing in real time.
Apply consistent medical necessity and treatment guidelines across workers' comp cases — from initial authorization through return-to-work. Reduce friction with adjusters, providers, and injured workers without sacrificing rigor.