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Patriot Technology Solutions Selected by Ashmere Insurance Company to Deploy PN InsuranceExpert™

Company Release – 10/26/2016 6:45 AM ET

FORT LAUDERDALE, Fla., Oct. 26, 2016 /PRNewswire/ — Patriot Technology Solutions, Inc. (“PatTech”), a subsidiary of Patriot National, Inc. (NYSE: PN), a leading provider of technology and outsourcing solutions, today announced that Ashmere Insurance Company (“Ashmere”) has selected PatTech’s flagship platform, PN InsuranceExpert™ as their technology system.
PN InsuranceExpert is an insurance value-chain software platform that includes core policy administration, billing, claims management, a rating/underwriting engine, business rules and workflow engines, document management, agency portal, policyholder/customer portal, claimant portal, business partner portal, reinsurance and business intelligence modules. Additionally, the platform integrates with PatTech’s InsurePay Pay-As-You-Go and DecisionUR Utilization Review products.

“We are pleased that Ashmere has selected PN InsuranceExpert, which is our flagship software platform known for its high level of efficiency, productivity and collaboration for users,” said Steven M. Mariano, Chief Executive Officer of Patriot National. “Technology is the cornerstone of our business that enables us to create exceptional value for our customers. This award exemplifies how our powerful operating platform and technology leadership will continue to drive organic growth and returns to our shareholders.”

About Patriot National

Patriot National, Inc. is a national provider of comprehensive technology and outsourcing solutions that help insurance companies and employers mitigate risk, comply with complex regulations and save time and money. Patriot National provides general agency services, technology outsourcing, software solutions, specialty underwriting and policyholder services, claims administration services, self-funded health plans and employment pre-screening services to its insurance carrier clients, employers and other clients. Patriot National is headquartered in Fort Lauderdale, Florida.  For more information about Patriot National, please visit www.patnat.com.

About Patriot Technology Solutions, Inc.

Patriot Technology Solutions (“PatTech”) is a leading provider of technology solutions for the property and casualty insurance industry. PatTech focuses on insurance solutions that spotlight a full core insurance suite solution with implementation expertise and including; professional and consulting services and enterprise data analytics with a cloud-based SaaS model. PatTech delivers solutions that provide carriers with premium growth, policyholder retention while lowering their cost of acquisition and reducing their overall servicing cost. Patriot Technology Solutions is headquartered in Fort Lauderdale, Florida with offices worldwide. For more information about PatTech, please visit www.ptsglobal.com.

About Ashmere Insurance Company

Ashmere Insurance Company was recently acquired by National Fidelity Holdings, Inc. Ashmere is licensed to offer all lines of property and casualty insurance products in 36 states through a network of 4,200 independent agents. For more information, please visit www.ashmereins.com.

Forward Looking Statements

This press release may include statements that may be deemed to be forward-looking statements. Words such as “may,” “will,” “should,” “likely,” “anticipates,” “expects,” “intends,” “plans,” “projects,” “believes,” “estimates,” “positioned,” “outlook,” “Guidance,” and similar expressions are used to identify these forward-looking statements. By their nature, forward-looking statements involve risks and uncertainties, and there are important factors that could cause actual results to differ materially from those indicated in these statements. For example, our solutions may not perform as anticipated, as well as those matters contained in our filings with the Securities and Exchange Commission. Although we base these forward-looking statements on assumptions that we believe are reasonable when made, we caution you that forward-looking statements are not guarantees of future performance or events and that results may differ materially from statements made in or suggested by the forward-looking statements contained in this press release. Any forward-looking statement that we may make in this press release speaks only as of the date of such statement, and we undertake no obligation to update any forward-looking statement or to publicly announce the results of any revision to any of those statements to reflect future events or developments.

Media and Investor Contacts:
Cindy Campbell
Director of Investor Relations
Patriot National, Inc.
(954) 670-2907
[email protected]

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SOURCE Patriot National, Inc.

DecisionUR Leaps Ahead With Colossal Cost Savings In Offering Software Enabled Utilization Review

From Lonce LaMon at adjustercom:

One of the relentless cost drivers that isn’t going away quietly in workers’ compensation is medical treatment. In 2004, when California passed LC 4600 stating that Utilization Review was a mandate in workers’ compensation, it meant physicians requesting authorization for medical treatment needed to submit documentation expressing their rationale for any treatment. It was the belief that there were unnecessary medical treatments, unnecessary cost related treatment, and that the injured worker was not always receiving quality care.

Thus, reviewing physicians (or nurses) took on the dynamic process of evaluating the medical requests from medical providers. These reviews were then and are now continuing to be performed according to standards mandated by the state, and/or to other evidence based criteria. This process may include a discussion with the medical provider requesting the information as well as a review of the medical records to determine the “reasonable medical necessity” of the requested service. This process is time consuming and labor intensive if done manually according to the original conventional method. It is also deadline driven by state mandate.

Now, a utilization review software named DecisionUR, has automated this process by creating an electronic processing system based on triage/review information that Dr. Lester Sacks copyrighted back in the 1990s. He did this “before UR was even around” he says. DecisionUR, as a system, was developed in 2005 and has evolved over the past 10 years.

Lester Sacks, MD PhD, is the Chief Medical Officer for Patriot Care Management, Inc. DecisionUR was purchased by Patriot National, Inc. in August of 2014. Dr. Sacks explains that “A qualified experienced reviewer can take most of the documentation and review it and make a realistic decision in 15 to 20 minutes.” Using nurse reviewers without an automated system, one may be able to do 12 to 15 cases a day, if not complicated, according to Dr. Sacks.

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