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Medical Bill Review

Medical care consumes 50 percent of allocated loss expenditures. Our experienced medical examiners leverage fully integrated medical review software to reprice all bills in accordance with pre-authorized treatment parameters, state medical fee schedules and rules, and preferred provider network contracts to generate maximum medical cost savings. 

Our streamlined medical bill review process automatically:

  • Verifies medical reserve adequacy
  • Generates an integrated check and Explanation of Review for the medical provider
  • Cost allocates all medical payments to the claim. 

WorkersChoice also makes all medical provider treatment and charge data available for utilization, cost and outcome reporting. 

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Información en español 775-982-3242