Payers / CMOs
Care Management

Maya

Maya our software platform for Physician Review, Required Medical Examination (RME) and Independent Medical Examination (IME) enables clients to manage their external physician review process. Maya transforms traditional paper based review processes into a seamless, automated workflow that consistently delivers quality and timely reviews, auto assignment based on specialty, scheduling, calendaring, billing, invoicing, tracking and reporting.


 Rules-driven Workflow Application

Maya presents on a single platform, a rules-driven workflow for external physician reviews that can also be integrated into Jiva's care management workflows. Maya enables automation of the review workflow through features such as specialty appropriate or specialty match assignments, reviewer selection by caseload or by calendar availability, appeals, automated notification when a case is assigned, picked up or delivered back, billing and invoicing, tracking and reporting, clients can seamlessly integrate physician review with other workflows such as utilization management, case and disease management.
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 Portal Services

Maya's secure portal services enable reviewers to login and get all information related to a review including supporting treatment records and other documents, communicate with review coordinators for clarifications, make determinations and submit review reports online.
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 Industry Content

Maya offers an inbuilt content management system that enables clients to build question banks with questions to be answered in a review. Questions can be automatically added to a review case based on the nature or type of review requested such as medical necessity, first review, appeal, or causation. Answers to review questions can be entered online.
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Software