Cost Containment Services
Transforming Claims Management
A powerful force in auto casualty and workers’ compensation—Enlyte’s full suite of cost containment and claims management solutions. By leveraging advanced analytics and innovative technologies, Enlyte delivers on optimizing outcomes, increasing efficiency, and improving user experience.
“Throughout different phases, Enlyte was very accommodating of our needs. Rather than push their own objectives, Enlyte understood our goals and worked diligently to ensure that each timeline was met and each goal exceeded expectations.”
—VP Medical Management, Regional Carrier
Revolutionizing Data ManagementEnlyte’s Strategic Investment in Data Management
Over the past few years, Enlyte has invested in a cloud-based data warehouse technology; allowing us to consolidate multiple lines of business and various data elements into a single, universally accessible database within our organization. This strategic implementation has significantly enhanced our data and claims management capabilities, aligning with our commitment to operational efficiency and data-driven decision-making.
Industries We Serve
We propel claims forward from incident to outcome, with an unmatched, integrated continuum of solutions that provides our clients with the claim information they need, exactly when they need it.
Workers’ Compensation Solutions
Our full spectrum of workers’ compensation solutions and services combines industry-leading software with technology-enabled services to provide optimized outcomes.
First Party Solutions
Our highly customizable suite of first party auto casualty solutions combines industry-leading software with technology-enabled services to help provide better claims outcomes. Our end-to-end first party solution encompasses the full claim lifecycle from the first notice of loss to claim closure.
Third Party Solutions
Improve overall bodily injury claim outcomes with Enlyte's leading end-to-end suite of third-party solutions. Our comprehensive approach integrates the most robust injury and medical billing data set into every solution, ensuring increased accuracy, consistency, and efficiency.
Cut Unnecessary Chaos Out of Claims Handling With Our New Referral Engine
Referral Engine automates referral distribution to ensure the right referral reaches the right vendor efficiently. By eliminating unnecessary adjuster effort, it saves valuable time while providing clear insights to identify opportunities for vendor improvement.
Guidewire + Enlyte
The Cloud-Native Accelerator is a pre-built integration that connects Guidewire ClaimCenter with Enlyte’s SmartAdvisor and DecisionPoint platforms, enabling near real-time data exchange, straight-through payment processing, and configurable auto-approval rules. Built by experts at Guidewire, this cloud-native solution simplifies implementation for faster deployment and greater accuracy in medical bill processing for Workers’ Compensation and Auto Casualty claims. By unifying disparate systems and keeping claims and bill data current, the Accelerator shortens claim cycles, tightens financial controls, and reduces maintenance costs to maximize your return on investment.
DELIVERY MODELFlexible, Scalable Solutions to Fit Your Needs
Enlyte offers its medical bill review solution in the way that works best for you, with three flexible delivery options:
Software License
Your internal teams manage bill review operations using Enlyte’s DecisionPoint or SmartAdvisor technology.
Hybrid Model
You retain control of select portions of the bill review process while outsourcing other components to Enlyte.
Business Process Outsourcing
Enlyte fully manages your medical bill review operations through our Technology-Enabled Services, including bill processing, mailroom operations, document management, data capture and provider contact center support.
Industry Trends and Insights
Get the latest insights and industry updates you need to know.
Find Out More
Combine industry-leading technology and expertise to achieve exceptional claim outcomes. Schedule a consultation to learn more about our comprehensive suite of integrated casualty services and solutions.