Medical necessity predictor
Identify non-motivated treatments
Mavera DSS automatically flags treatments that are not medically motivated, enabling health insurers to approve or reject treatments with confidence.
Our customers save millions of euros yearly by avoiding medically unnecessary treatments.
Enhancing patient safety
Surgeries come with risks. By identifying unnecessary treatments, you can decline them or offer alternatives to your customers.
The system guides your focus on priority claims and provides detailed insights for each.
Navigating Treatment Approvals:
Cost vs. Cure
The cost of medical treatments is central to the health insurance business. However but the most effective treatments aren’t necessarily the most expensive.
Some clinics suggest surgeries, while others recommend physical therapy. Bear in mind that they are also businesses.
The insurer’s challenge is to decide what treatments to approve or not. The volume of treatment requests makes it impossible to investigate every request, but where to start?