A significant portion of insurance claim rejections come down to one thing: the diagnosis code and the prescribed treatment don't align under the insurer's rules. These mismatches become costly reconciling items, disputes that take weeks to resolve, and revenue that often never comes back. Most could have been caught in under a minute at the point of care.
MEDRA runs a real-time check on every prescription against the diagnosis at the point of care, before the claim is submitted. When a mismatch is found, the clinician sees an immediate flag with a clear explanation. Fix it in the room, not in a billing dispute three weeks later. Faster approvals, fewer rejections, more revenue recovered.
Checks diagnosis-prescription alignment the moment a prescription is entered, before the claim is submitted.
Cross-references ICD codes against insurer-specific formularies and coverage rules, updated to current coding standards.
Configurable per insurer. Different insurers have different rules. MEDRA knows the difference and applies the right check automatically.
Designed to integrate with existing Electronic Medical Records systems. MEDRA fits into the workflow your team already uses.
Every flag, every override, every resolution is recorded. A complete audit trail for compliance and dispute resolution.
Track how many claims were flagged, corrected, and approved. See the direct revenue impact of mismatches caught versus missed.