Definiti’s Medical Bill Review program is powered by a sophisticated software system, intelligent technology, advanced data management, customizable utilization flags, along with experienced professionals guarding your cost. Definiti’s technology combined with dedicated compliance expertise identifies inaccurate, inappropriate and excessive charges on medical bills. Definiti’s bill review solutions ensures adherence to each state’s regulatory requirements and recommends defensible reductions. It also eliminates duplicate and code unbundling.
Definiti’s bill review software of choice is able to develop customized interfaces with all major claims management systems such as: David, David Renaissance, Risk Master, VOS, VOS Portal, Talisman, Sucaba, Pyramid, Stars, RiskCo and Gensource. And adding more as new interfaces are build to client specifications.
Definiti’s goal is to make your operation more effective that can help you interface with your operation’s claims system.
Bill Review Technology features:
Bill Review Interfaces….EDI
Claim file interface
Vendor file interface
Payment file interface
Utilization Review interface
Vendor file interface
Payment file interface
Utilization Review interface
Bill scanning/Paperless solutions
Document Storage
Web-based EOR/document retrieval capabilities
Back end approval workflow
Back end approval capabilities
Web-based EOR/document retrieval capabilities
Back end approval workflow
Back end approval capabilities
Customized billing
Web-based reporting
Web-based bill review and approval capabilities
Automatic state law adjustments
Web-based reporting
Web-based bill review and approval capabilities
Automatic state law adjustments
