StrataCare
StrataCare’s medical bill review platform, Strataware, is the leading solution for the casualty claims industry with more workers compensation bills processed annually than on any other bill review system. It unifies regulatory and clinical bill review, PPO networks, and specialty payment integrity solutions into one comprehensive system that integrates seamlessly with Duck Creek, streamlining workflows and delivering better outcomes across the casualty claims ecosystem. Offered as a software lease or a fully outsourced service model, StrataCare provides the flexibility and scalability needed to meet the diverse needs of insurance carriers, TPAs, and employers.
As the company behind StrataCare, MedRisk has over three decades of leadership in managed care. With a focus on faster recovery for patients, smarter spending for claims, and optimized payments for providers and patients, MedRisk and StrataCare together empower employers and claims administrators to improve efficiency, reduce costs, and enhance outcomes throughout the claims process.
StrataCare maximize savings every bill, every day
StrataCare Nurse Triage
Strataware Service+
Advantages
Highest level of automation for accurately repricing bills and ensuring regulatory compliance
Easily configurable to adapt to individual clients’ evolving business needs, drive automation, and improve outcomes
Delivers real-time visibility and control to adjusters, empowering smart decision-making
Payers benefit from actionable insights gleaned from 28 million bills reviewed annually on the Strataware® platform
Features
Pathways configurable rules engine – easily apply custom workflows and auto-adjudication without a programmer
CareControl® – integrated utilization review decision manager enforces authorization decisions and improves financial controls
Strataware® Shield claims portal – gain real-time visibility, automate bill approval and empower smart decision-making
Enterprise reporting – generate business insights with interactive dashboards, ad hoc reporting tools, and more than 150 standard reports
Expertise
StrataCare focuses on solutions that improve automation, interoperability, and decision-making to move claims forward
Strataware® is the industry’s leading medical bill review platform for 20+ years
Deep industry and IT expertise led by best-in-class service delivery and technical teams
Trusted partner to leading insurance carriers, third-party administrators, public entities, and self-insurers