Medical Bill Review
MedCheck® is CorVel's state-of-the-art, web-enabled bill review and PPO management system for the workers' compensation, auto and disability management insurance markets. Best utilized as part of an integrated healthcare management program which includes CorVel's PPO services, MedCheck provides automated medical reimbursement and retrospective bill review while easily accommodating service delivery through one of our offices, accessed at the customer site or through our eCommerce website, www.caremc.com.
MedCheck services include:
- Coding review and rebundling
- Usual and customary review
- Fee schedule analysis
- Pharmacy review
- PPO management
- Hospital bill review
- Repricing
Featuring:
- Leading-edge, artificial intelligence rules engine
- Enhanced EDI interfaces
- Multiple quality control checks
- Utilization agreements integrated with UM services
- Online bill entry, review and approval
- Automated provider reimbursement
- Internet based reporting tools
