• Referrals and authorizations
• Case and risk management

HealthTrio xpress comprehensive approach to referrals and authorizations allows these transactions to be used both for claims processing and medical management:

• Links each claim to its respective referral or authorization, so much of the processing occurs without staff intervention, saving valuable time
  
• Enables case managers to use the unique information infrastructure to associate any number of referrals and authorizations to a single medical problem
  
• Enables case managers to analyze the savings that result from case management efforts

For case and risk management, HealthTrio xpress user-defined tables improve the case manager's productivity:

• Enables case managers to record all appropriate activity and route the information as required
  
• Flags recorded case or risk management information throughout the system, and instantly provides users all historical member information
  
• Enables each health plan to set up and maintain its own unique rules for routing and escalation, dramatically improving workflow management