Definiti

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Bill Review Technology Solutions

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, iVOS, VOS Portal, Talisman, Sucaba, Pyramid, Stars, RiskCo and Gensource. And adding more as new interfaces are built 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
  • Bill scanning/Paperless solutions
  • Document Storage
  • 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

Testimonials

"The very first, initial impression of any company, is seen in their management staff. Management sets the values and standards upon which their company is founded, and the services provided.

Definiti ranked very high in this regard and has met and exceeded our expectations in providing consistent quality work with no "drop off" over time. The efforts of their staff to bring the best savings to our company, the timeliness of their return on bill reviews, the availability when questions arise, the willingness to go the extra mile....we have never been disappointed. Bashas is pleased to recommend Definiti to anyone."

- Barbara S., Claims Administrator, Bashas Supermarkets