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
"Whenever you enter a relationship with a supplier you wonder about whether or not they can be trusted to do what they say they will do. Will they be available when I have questions? Will the level of service fall off after a period of time? Will the quality of work deteriorate? Definiti has never disappointed me in any of these areas. They are serious about their mantra of keeping clients for life. During the entire time span of my relationship they have met or exceeded my expectations. When I have an issue or question they are prompt with a response and not only to us but to our provider as well.
Definiti has excellent turn-around time. They respond to problems within 24 hours. The quality of service has been consistent and constant with no drop-off. To summarize I would say that the people at Definiti have the highest of integrity simply because they follow-up, follow-through and most importantly they do what they say. I would gladly recommend Definiti for your medical bill review needs."