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UR Enforcer (Connecting Utilization Review and Bill Review) |
Saves an additional 20%
DataCare's UR Enforcer (Bill Zee) application augments traditional bill review savings by verifying bills against treatment authorizations from utilization reviews and flags the questionable bills for higher level of scrutiny.
In 2008, The State of California released the Workers Compensation Medical Accuracy study, conducted by Navigant Consulting. This study indicated that overpayment of medical bills submitted for workers’ compensation claims amounted to over 20% of the bills paid!
Our customers have found that UR Enforcer significantly reduces medical overbilling, without reducing legitimate treatments. It is an important tool to keep loss ratios down, while speeding payment of legitimate claims.
Supports Utilization Review Treatment Authorizations
- Audits medical bills against utilization review (UR) treatment authorizations
Electronic Data Interchange Transfer To Bill Review Vendors
- Transfers data securely to bill review vendors
Total Management Visibility
- Management can easily track and monitor the progress of claims
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