Medical Bill Review

Comprehensive Service for Retrospective Savings

Allied Managed Care’s highly sophisticated Medical Bill Review system leads the industry in savings potential. Our expert review analysts use State-of-the-Art Software to provide the highest cost reductions offered in the nation today. A retrospective savings vehicle, our software reviews and re-prices medical bills in accordance with the rules, regulations, and allowable reimbursement rates in the Official Medical Fee Schedule (OMFS). For additional savings, our expansive Medical Provider Network/PPOs offer pre-negotiated rates even below those allowable under State Fee Schedules.

Allied Managed Care customizes bill review services in accordance with the individual client’s specific cost drivers. Get only the services you need without paying extra charges! To speed up the bill review process and go that extra mile, we provide free overnight courier delivery and pickup service.

Adhering to the highest internal quality control standards for medical bill review, and measured by quick turnaround time, customer satisfaction, and provider inquiry responsiveness, Allied Managed Care’s commitment to excellence is unparalleled. We substantiate and defend any and all reduction recommendations at no cost to our clients.

Responsive Capabilities Mean Greater Cost Savings

Allied Managed Care’s Medical Bill Review system extracts all identifiable overcharges, including duplicate billings, unauthorized charges, upcoding, unbundling, and disallowed fees. Allied Managed Care reviews all types of medical provider bills and utilizes the most effective method for the individual bill to maximize cost reductions. That way, our clients are not paying for unsupported charges, service fees that are different from the actual service provided, or any services that are improperly named and coded.

Fast Reporting, Electronic Data Integration

Our medical bill review system is a collection point for an enormous amount of vital claims-related data. Since all claims are based on a medical injury, tracking those medical costs, individually and collectively, is critical. Our capability to generate Comprehensive Reports is a must-have in today’s managed care environment. Allied Managed Care’s outstanding ability to provide frequency and cost analyses via a totally customizable array of real time reports means that our clients can query all information captured in our bill review system in multiple formats. In addition, bill review allowances and payment information can be electronically integrated into the claims administration data system through an Electronic Data Interface (EDI). Individual claim data fields are automatically populated and allow for automated payments to medical providers. Clients reap the benefits of EDI by realizing enormous savings through reductions in administrative staff time and elimination of data entry errors.

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80 South Lake Avenue, Suite 500 ~ Pasadena, CA 91101 ~  (800) 431-6336 ~ (626) 441-3999 ~ Fax (626) 441-3799