CorVel offers industry leading medical bill review and PPO management system for workers' compensation. These services can be delivered through one of our local offices, accessed at the customer site or as an application service provider (ASP) via CorVel's website, CareMC.
Our proprietary rules engine is highly flexible and can be configured by line of business, company location, state and customer. Populated with over 10++ million business protocols, CorVel ensures accurate and consistent bill review to maximize savings for our customers.
Bill Review Services
- Coding review and rebundling
- Usual and customary review
- Fee schedule analysis
- Enhanced bill review
- Out-of-network bill review
- Pharmacy review
- PPO management
- Repricing
Features
- Leading-edge, artificial intelligence rules engine
- Enhanced EDI interfaces
- Online bill entry, review and approval
- Automated provider reimbursement
- Internet based reporting tools
- Customized service delivery models
Benefits
- Multiple quality control checks
- Rapid turnaround times
- Eliminate paperwork
- Expedite provider payments
- Secure online transactions
- Customized reporting
