Our bill review provides a review only of medical bills so that our clients are able to determine the actual cost of treatment. This information is used for settlement purposes or to determine actual value of the medical portion of the claim.
Medical bills are reviewed to achieve optimum cost containment. We use a tiered approach that allows for the advantage of sophisticated bill review software, information management technology and various data sources, along with an expert team of bill review specialists, certified coders and medical professionals experienced in detailed review of medical bill charges and treatments. The level of service used is determined by the complexity of the case and legal involvement.
First Level Review by Bill Review Specialist
Comprehensive coding review, and bill re-pricing
Usual, customary, and reasonable review