Obamacare Cost Savings Available to Insurers by New Internet System.

CAMARILLO, Calif. - April 13, 2013 - PRLog -- DPRx’s CEO, John Discola, announced the signing of the first license for PRO/3G its Online, Real-Time Insurer Authorization system. PRO/3G offers an automated Internet approach previously proven to create substantial cost containment savings and huge cost cutting of labor-intensive administrative expenses.

This cyberspace solution is a continuation of DPRx’s pioneering legacy in development of successful Online, Real-Time, server-based PBM processors dating back to 1988. A steady evolution of its PBM systems over 25 years has resulted in extensive and field-proven cost containment algorithms. These algorithms integrated with highly efficient Procedure screening techniques using customized ICD9/10 and CPT10 databases make DPRx’s PRO/3G system a leading innovator in solving the complex Authorization’s process.

This long-awaited Internet paradigm for medical Authorizations replaces today's routine RXs by online, real-time processing directly from the Provider’s Internet-connected POS with the same efficiency of today’s PBM systems. It minimizes and collapses today's huge labor-intensive telephone inquiry and expensive authorization process for non-routine Procedures. An estimated 80% of all authorization transactions are by these lower-cost procedures common to patient office encounters.

The remaining, much more expensive 20% of transactions (80% of medical costs) ordinarily require direct examination by the insurer’s medical professionals to confirm coverage compliance and medical appropriateness. PRO/3G becomes an expediting tool for the medical examiners by automating delivery of required diagnosis reports and associated supporting data. It replaces cumbersome person-to-person scheduling synchronization of the doctor and the insurer’s examiner. Authorization responses can now be delivered in minutes or hours rather than days of delay. Oftentimes today’s responses take over a week for an approval.

PRO/3G also provides an in-patient capability by Case-based tracking of serial authorizations common to hospitalizations where all procedures are tabulated and reviewable 24x7 by Internet.

An important feature of the PRO/3G system is the customization options provided for inserting intercepts by the Insurer’s administrators. Subscribers, Providers and Procedures can be targeted for mandatory direct examination.

Analysis of today’s person-to-person Authorization labor costs is estimated to be 8% to 10% of gross procedure benefit costs. Net procedure costs, as a portion of overall costs, are estimated to represent at least 65% of total operating costs. The savings then represents 12% to 20% of the 65% of procedure costs. Thus the new technology has the potential of improving bottom line Insurance Company operating costs by 8% to 14%.

PRO/3G's online reporting module can also be employed to track provider over-utilization of imaging and diagnostic testing. Such tracking intercepts can focus on excessive testing and can significantly reduce those costs. Today's litigious propensities fosters over utilization due to Doctors acting defensively against threats of malpractice lawsuits.

Those interested are invited to visit the PRO/3G website at www.insurer-auths-online.org. A demonstration of PRO/3G POS operations is included along with contact information. Direct inquiries can be made to GM at (702) 490-5475 or gm@dprx.com or visit www.dprx.com.