Medical Bill Review

MedCheck Select is CorVel's proprietary line of enhanced bill review services. Our Enhanced Bill Review services allow payors to define and adjust individual line item charges on all medical bills to usual, reasonable and customary levels, as provided under most medical insurance programs.

Enhanced Bill Review Services include:

  • Line item bill review
    • Original charge data
    • Usual and customary review by zip code
    • Fee rebundling & error removal
    • Separation of charges by diagnosis
  • Retrospective Utilization Review
  • Fee Negotiation
  • Expert negotiation
  • DGR Validation
  • Professional Nurse Review

Featuring:

  • Industry unique database - The Universal Chargemaster
  • State-by-state rules engine
  • Utilization screening
  • Line item U&C adjustments
The Universal Chargemaster:

The Universal Chargemaster is a compilation of hospital line item descriptions from over 75% of the nation's hospitals. It is a virtual thesaurus of terms, codes and abbreviations. The line item descriptions are evaluated and appropriately compared to other hospitals in the same geographical area.

Solutions include:
  • Save up to 40% per bill
  • Legal and regulatory support
  • Pay only for results
  • Enforces U&C language
  • Quality management for each bill

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