Medical Bill Review Fact Sheet
The AIS Solution
Auto Injury Solutions offers multiple options for proper review and timely processing of automobile related medical expenses. Our solutions range from medical bills processed by you at your desktop – to a full outsourced model. We can assist you in being your incoming mailroom, adjudicating your bills, and concluding with final automated reimbursement of the medical expenses. Auto Injury Solutions can even update the payment details to the claim file.
How Our Customers Benefit
An insured cannot control how many medical bills, or the type of the medical expense at any given time. Auto Injury Solutions can be the solution to the inconsistent work load for the reviewing and processing medical expenses. If you want to lease our software for medical bill review, we can handle your “backlog” in real time to ensure you are always meeting your turnaround requirements while keeping your overtime expenses to a minimum. Our professional and experienced automobile specific bill review staff is available to address any or all of your automobile-related medical bill review needs.
Expertise
- Bill review software developed and engineered with automobile-specific bill review logic
- Jurisdictional-based rules engine and review with state-specific guidelines
- Customized flags
- Defensible automobile PPO access
- Professional nurse and code review
- Fraud identification
- Usual and customary review
- Out-of-network bill negotiation (CPS)
Efficiency/Productivity
- Line-item review capabilities
- Diagnostic Related Group validation review
- Automated fee “rebundling”
- Body mapping
- Duplicate detection
- Auto-routing of workflow by bill complexity with the integrated MedFlow - Document Management application, a fully featured imaging and workflow tool to assist in decreasing processing time and expense
- Complete history of all input and system-driven events are maintained
- Accepts pre-certifications and all types of treatment plans from Case Management systems, including Auto Injury Solutions’ MedFlow - Case Management application
- Approve and print EOR real-time and on-line with MedFlow - Adjuster Desktop application
Customer Service
- Litigation support
- Assigned Account Manager
- Auto Injury Solutions’s 24/7 Customer Care Center provides prompt, personal service via phone or email
The AIS Value Differentiator
Auto Injury Solutions combines our expertise in the automobile medical claim process with our proprietary MedFlow Technology Suite to create a flexible and comprehensive solution set that is customizable to meet the needs of each client. This complete, end-to-end process allows for integrated results to be synthesized into a comprehensive outcome.
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