Payer Solutions
CAVO: DRG/IB Reviews
CAVO® is enterprise technology that streamlines the medical record review process by providing specific business process solutions to your organizational challenges in one multi-faceted platform.
AI-Driven Medical Record Review Technology To Help Your Payer Organization
The CAVO® technology platform streamlines the medical record review process at both the functional and enterprise level. Using deep clinical and coding expertise in conjunction with NLP and ML as the backbone of our AI-driven use case deployment, CAVO facilitates a 10X faster claim or record review, significantly improves the financial outcome per FTE, and accelerates ongoing process improvement. Learn more about our payer solutions below.
saved in claim expenses since CAVO’s inception
%
average user productivity increase within 90 days of implementation
insured members supported across commercial, medicare advantage, and managed Medicaid markets
%
average reduction in administrative expenses
CAVO® is a revolutionary technology platform that supports various complex clinical claims review processes performed by health plans and support services companies. CAVO empowers highly skilled clinical and coding resources with AI-driven functionality that shifts the focus from “low value” tasks and requirements such as document access, search, analysis, and determination support within medical records and other unstructured data to “high value” tasks and requirements such as validation and final determination. The technology enables clinical and coding reviewers to easily access and structure medical records, itemized bills, and additional clinical data efficiently, consistently, cost-effectively, and profitably.
With over one million completed case reviews, CAVO delivers technology proven to scale up your medical record reviews and increase your team’s productivity by 300%-500%.
Use Cases
IB Reviews
DRG Reviews
Medical Necessity
Provider Appeals Management
Built-In EMR API Access
Simplify the clinical documentation and record retrieval process for claims reviews with CAVO® Connect. With provider support, CAVO Connect enables health plan EMR access using FHIR to real-time data in medical records, itemized bills, and additional clinical documentation—while eliminating both provider and your plan’s costly administrative burden.
“Not only can reviewers easily pull up a patient’s entire file on the computer screen, now with a few keystrokes they can search a 10,000-page medical record and see all references to specific data points within seconds…[our] ultimate goal in switching to CAVO’s technology is to migrate all of our records into CAVO.”
– Manager, Payment Integrity
Why Use CAVO?
Reduce Review Time & Cost
Get Claims Paid Accurately and Quickly
Strategic Partnerships
TREND can accommodate specific times, days, or review types to eliminate gaps in nurse reviewer coverage.
Implementing CAVO
Strategy
Efficiency
Consistency
Transparency
TREND’s AI technology removes conventional friction between internal and external resources by providing transparency and depth in the review process.