DIRECT is a Chief Medical Officer’s best friend, available on CONNECT. 

Overview

DIRECT is a secure, web-based portal that allows your Medical Directors to easily and instantaneously manage the healthcare delivery system and monitor at-risk patients anytime, anywhere.

DIRECT Benefits:

Smart Rules Search Engine

• Permits auto-approval based on SynerMed’s Rules-Based Engine and information data base

Confirms Standards of Care are Followed

• Allows Medical Directors to determine medical necessity for each case

based on recommendations for standards of care

Convenient and Easy Access

• Login from anywhere in the world at any time to a secure web portal
• View authorizations pending approval

Easy Organization and Prioritization

• Review inpatient case notes and communicate with case managers
• Ensure timely processing of authorizations

Authorization Review Based On Business Rules

• Manage by authorization type, outpatient and inpatient status and urgent or retros
• Shows information requests by providers and facilities
• Provides Medical Directors comprehensive review and evaluation of patient’s medical history 

Detailed Information and History

• Member case history is easily viewed, containing eligibility, provider information and attached documentation
• Quick status verification of authorizations previously reviewed but still pending approval
• Ability to request additional information for review

Instantaneous Management of Authorizations and Hospitalized Patients

• Secure access to the authorization review process
• Detailed information about patients’ current medical condition and hospital stay
• Ensures at-risk patients are handled according to community standards of care and those set by professional medical organizations

Secure Communication

• Real-time communication with case managers and medical staff

Reduced Time and Costs

• Instant access to member information and case facts, helps Medical Directors make quicker decisions, reduce time and administrative costs associated with the review process

Seamless Integration into Internal Workflow Programs

• Permits direct documentation on the authorization to help minimize communication errors