Mitchell Medical, the premier provider of casualty claims solutions for the auto insurance industry, today announced the release of Decision Point 6.0, with numerous enhancements including an easy user-configurable action and workflow rules engine.

The industry-leading Decision Point suite of medical bill review, utilization review and management reporting software is used by many of the nation’s largest automobile insurance carriers to control their first- and third-party medical claims costs. Decision Point’s ability to run both as an Internet-based application hosted by Mitchell or over a company’s Intranet gives claims management greater flexibility in designing and managing its internal workflow. It also allows medical bill processing to be centralized or decentralized depending on the needs of the claim organization.

And now, Decision Point 6.0 includes Sentry, the easiest-to-use client configurable rules engine on the market and the only one that puts the power of writing rules at the client’s fingertips.

“Decision Point 6.0 creates true exception-based processing and handling,” said Tom McCarthy, senior vice president and founder of Mitchell Medical. “The Sentry rules engine allows for consistent and accurate reviews based on the policies and procedures of the organization. And it is so intuitive to use that it eliminates the reliance on more experienced programmers. Decision Point 6.0 improves an organization’s operational efficiency.”

Additionally, Decision Point 6.0 ensures that the appropriate amount is paid on bills based on client-specific rules. Using the new version, insurers can set their own rules, including automatically paying for selected procedures if under a specified fee. And when those user rules are exceeded, cases can be automatically routed to the proper person for review.

Decision Point 6.0 further improves operational efficiency by allowing users to enter hospital bills, along with provider bills, into the system. This permits all automobile medical bills to be processed in one application. Mitchell Medical also added Diagnostic Related Grouping (DRG) software to the Decision Point claims management system for New York and Pennsylvania users. This allows for consistent grouping of related procedures for hospital inpatient bill repricing.

“These new enhancements will continue to keep Decision Point the leading suite of products for automobile insurers seeking to improve the processing and contain the costs of medical claims,” McCarthy said.