The SmartAdvisor 8.0 Advantage

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2 The SmartAdvisor 8.0 Advantage Best Practices for Simplifying Complexity, Improving Efficiency, and Cutting Costs Rebecca Morgan

3 8.0 New User Interface Intro to SmartTracker URDM Enhancements Virtual Payment 2016 Compliance Features Guidewire Integration

4 It All Starts With a Problem There is a Problem in the Industry Today

5 Innovation Process Iterative Approach to New Product Creation Innovation Events Internal or Customer Product Idea Suggestions Customer Advisory Councils Agile Development Innovation Framework Experimentation Business Case User Centered Design Process Google Design Sprint Prototypes User Testing Product Delivery

6 Innovation at Mitchell Top of mind priorities for our customers: Bill KPI s Hard Fraud Soft Fraud Virtual Payment

7 The Measurement Problem Bill reviewers must manually track their bills and productivity Bill reviewers spend 2 hours per day

8 SmartTracker Auditor Dashboard A more detailed view of worked bills and productivity Track productivity Measure performance Export metrics Access worked bills

9 SmartTracker Prototype Testing Client Feedback Users said: Saves so much time. I could see myself using this tool. I d use it. Really like it, really helpful. Managers said: I love it! Helpful for PPO and Turn Around Time. Would like to see my team use it. I love it! How soon can I get it? It has lots of advantages. Great work!

10 SmartTracker will cut 2 hours of tracking per day down to 30 minutes

11 SmartTracker Management Dashboard More capability coming soon! Monitor KPIs View bill inventory Customize metrics

12 The Integration Problem There is a problem in the industry today I use many separate systems to manage claims and they just don t talk to each other

13 Our Vision Leading Technology Partner to the P&C Claims Industry Single Platform Collaborative Connectivity Our Vision Claims Intelligence Customer Experience

14 Mitchell + Guidewire = Advance Integration. Simplified Mitchell + Guidewire entered into a strategic partnership to: Deliver a single workspace of advanced prebuilt integrations between core claims and expert solutions Jointly develop new innovative solutions to enable improved claims handling Prebuilt advanced integrations result in: Unified claims environment optimizing the claims workflow and decision-making Accelerated time to implementation and lower total cost of ownership

15 Mitchell + Guidewire SmartAdvisor Extension Pack Claim Synchronization Single Sign-On Payment Recommendation Feed

16 Mitchell + Guidewire Pre-Wired Integrations Across Our Product Lines Auto Physical Damage Auto Casualty Solutions Workers Comp Solutions APD Extension Pack 1.0 with ClaimCenter 7 APD Extension Pack 2.0, 2.1 with ClaimCenter 8 DecisionPoint Extension Pack 1.0 with ClaimCenter 8 Mitchell Regulatory Reporting Accelerator SmartAdvisor Workers Comp Extension Pack 1.0 Phase 1 with ClaimCenter 8 Themes are subject to change and do not constitute a commitment of any functionality. The integrations or features described for our products remains at the sole discretion of Mitchell and Guidewire

17 Lack of Pharmacy Integration My pharmacy is in one place and my medical is in another and they just don t talk to each other Network penetration around 70%

18 ScriptAdvisor Integration CLAIM Diagnosis RISK PREAUTHORIZATION formularies Intervention PHARMACY Medical Management Services

19 ScriptAdvisor Integration CLAIM PHARMACY Diagnosis formularies Intervention Claims Examiner Portal (CEP) Medical Management Services RISK PREAUTHORIZATION

20 The integration of SmartAdvisor and ScriptAdvisor enables network penetration rates as high as 95%

21 Pharmacy Intervention Combines clinical expertise and integrated technology to assess individual cases at the point Rx enters our system Triage High risk 1 st fill Based on injury Peer: Physician or Pharmacist Medical necessity or prescription Works with adjuster Nurse Utilization Review High risk 2 nd fill Based on medical appropriateness Multidisciplinary Intervention Highest level of intervention Proactive plans for recovery

22 Better information leads to better decision making and better outcomes

23 Added Capability: Virtual Payment Virtual Card is an epayment solution processed in the provider s office, without issuing a physical plastic card Card information is sent to the provider with the Explanation of Payment (EOP) Providers still have the choice to receive payment in the form of paper check or EFT/ACH Benefits for both payers and providers

24 Connecting You to Best-in-Class Partners Pain Management Adva-Net Medical Implants ForeSight A Leading NJ Network Virtual Payment

25 Mitchell Compliance Website The leading source of compliance expertise, thought leadership and information Delivered to the P&C industry in a fast, accurate and innovative way User Friendly Secure Connected

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