Third-Party Audit and Analysis Fact Sheet
The AIS Solution
Auto Injury Solutions' Third-Party Audit and Analysis assists in the review of presented third-party medical bills and reports (Demand Package). Third-Party Audit and Analysis enhances an adjuster’s ability and effectiveness in understanding the medical claim presented, and in negotiating a fair settlement of the claim.
How Our Customers Benefit
Auto Injury Solutions' Third-Party Audit and Analysis solution provides a combination of Bill Review, Code Review, and Nurse Review in one complete comprehensive report. MedFlow - Bill Review technology automates the application of rules for a consistent and efficient review. The bill review process assists in determining the appropriate fees and procedure codes. The nurse review process provides a comprehensive understanding of the injuries presented, the treatment involved, and the recommendation as to the appropriateness of the injuries being related to the loss in question and the treatment in question.
Level One Solution
- Medical Bill Audit (automated bill review)
- Treatment Detail Report
- Treatment Calendar
Level Three Solution
- Medical Bill Audit (automated bill review)
- Treatment Detail Report
- Treatment Calendar
- Professional Code Review with narrative
- Professional Nurse Review with narrative
Level Two Solution
- Medical Bill Audit (automated bill review)
- Treatment Detail Report
- Treatment Calendar
- Professional Code Review
- Professional Nurse Review
Level Four Solution
- Medical Bill Audit (automated bill review)
- Treatment Detail Report
- Treatment Calendar
- Professional Code Review with narrative
- Professional Nurse Review with narrative
- Physician Record Review with narrative
Expertise
- Dedicated team of code review specialists and nurses for Third-Party Audit and Analysis
Efficiency/Productivity
- Web-enabled referral, document delivery to Auto Injury Solutions, report delivery, and billing through MedFlow - Adjuster Desktop
Customer Service
- Auto Injury Solutions’s 24/7 Customer Service Desk provides prompt, personal service via phone or email
Security
- Within 10 business days of receipt of medical documentation, the final report is sent via secure, encrypted electronic submission or traditional hardcopy mailing
The AIS Value Differentiator
Auto Injury Solutions guarantees the turnaround time and your “return on value” – you pay nothing for the final report if we do not meet or exceed our written service guarantee.
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