Bill Review

Care    will process provider bills, conduct appropriate utilization review, and supply you with a utilization report indicating the usual and customary rate, the contracted rate, and the savings generated for each procedure authorized.

Utilizing sophisticated software and a database management approach, Care   's automated bill review system screens bills for medical services to prevent overcharges and re-prices bills to our negotiated rates. Care    will review provider bills against pre-certification recommendations and verify dates of service.

Utilization Review is performed on each procedure submitted by the provider to verify authorization and completion of the procedure. Verification of the provider status in the network is made to assure that the date of service coincides with our records.




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Second Opinion

Appointment Scheduling

Age of Injury

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DME

IME

Service Features

Coordination of Care

Reporting

Bill Review



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