ESIS Impact®
ESIS Impact®, our distinctive approach to claim management, combines people, process, and technology in an architecture that incorporates a dynamic intake process; designated claim teams; our select, outcome-based provider network tool; proprietary medical and pharmacy programs; contemporary return to work tools; health, safety, and environmental services; and analytics to demonstrate results.
Benefits:
- Advanced intake environment using predictive triage
- Aggressive medical only management validates treatment
- Clinical triage at intake and throughout the life of the claim
- Proprietary medical management solution
- Exclusive, outcomes-based provider network and selection tool, ESIS ExPO®
- Proprietary pharmacy benefit management program
- Comprehensive approach to client benchmarking, Analytics in Action®
Results:
Though a comparison study for recently transitioned accounts from other large, national TPAs, ESIS identified the following benefits realized through ESIS Impact:
- Achieved a total average reduction of 12 percent
- Achieved a higher rate of closed indemnity claims
- Decreased the average paid per claim across all claim types, down 12 percent overall
- Achieved a three percent reduction in indemnity claims
- Significantly decreased the average age of medical only claims
- Significantly decreased the average paid per claim rates on medical only claims