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Bill Review Overview

Bill Review is not just a data entry transaction at Definiti. Our primary focus is to deliver the “Best Net Value” while maintaining superior level of accuracy, turnaround time and client satisfaction. By combining state- of- the-art technology with analyst oversight, every bill is subjected to a rigorous review by Definiti’s team of expert analyst averaging over twelve years of bill review experience. Additionally, our program includes a quality assurance process that includes a 100% bill audit.

Definiti’s Bill Review Capabilities Includes:

  • State Fee Schedule Adjudication
  • Level of Service Review
  • Specialty Bill Review
    • Fair Value Pricing
    • Complex File Review
    • Out of Network Negotiation Services
    • Inpatient and Outpatient Line Audit
  • Provider Inquiry Support
  • National PPO Access
  • Bill Review Technology
  • Claims Software Integration
  • Image System Integration
  • Utilization Review Interface
  • Comprehensive Reporting (Customizable)
  • State Reporting Capability

Click here for FAQ’s regarding our Medical Bill Review Service


"Whenever I speak with the staff at Definiti it is a very satisfying experience. They are always friendly, helpful and very cordial. They respond immediately to requests for service and are happy to provide information about items including pricing and savings. They offer training sessions to give information about their products and services. I would recommend Definiti to anyone who likes to interact with an exceptional group of caring individuals."

- Jan P. W., RN, MS, CCM