Our Medical bill review systems ingest data from multiple sources, run them against our automated rules engines, and gets validation by a professional claims administrator, professional vendor. It also reviews medical bills related to claims and audits the bills for accuracy, duplication of charges, and reasonableness. The costs for these services are allocated claim expenses, meaning they get charged directly to the claim file. This makes figuring out what you’re paying more difficult, as bill review charges tend to blend in with other expenses and bills.  

The goal of our medical bill review systems is to maximize savings for employers by making sure they are paying only the appropriate medical fees of their injured workers. Effective, multi-faceted medical bill review systems have earned their place as vitally crucial in managed care strategies.