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Medical Bill Review

  • Clinical & Coding Logic
  • Pharmacy & DME
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Home Workers’ Compensation Medical Bill Review

Medical Bill Review

Equian’s Medical Bill Review solution includes a market-leading platform coupled with Workers’ Compensation experts that ensures quality and payment integrity specific to provider reimbursement. Equian’s end-to-end Bill Review platform integrates state fee schedules with our Network Solutions.

Our Network Solutions deliver access to the largest database of discounted arrangements available in the marketplace:

50+ Workers’ Compensation-Specific National Networks

10+ Networks that can serve as a Primary Network

30+ Supplemental Networks for Out-of-Network Bills with Fast Turnaround Time

Volume-Based Pricing with Specialty Networks (Chiropractic, PT, OT)

A Pre-Payment Solution Suite: 

In-network bill review, validation and correction completed before network repricing and payment.

Flexible and customized workflows, with data intake tailored to client needs

Highest content quality, with proprietary rule logic and edits

Broadest set of medical discounts, with national and primary networks, and expert-led negotiations

Exponentially advance your Payment Integrity model by aligning with Equian.

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  • Home
  • About
  • Solutions
    • Claim Analytics
      • Data Mining
      • Prospective Claim Accuracy
      • Network & Pricing Optimization
      • AuditPoint
    • Clinical Validation
      • Clinical Review & Resolution
      • Hospital Bill Audit
      • DRG Validation
      • Outpatient Audit
    • Other Party Liability
      • Healthcare Subrogation
      • Property & Casualty Subrogation
      • Pre-Bill Discovery
      • Coordination of Benefits
      • SubroPoint & Troveris
    • Workers’ Compensation
      • Medical Bill Review
      • Clinical & Coding Logic
      • Pharmacy & DME
      • Predictive Analytics
  • Right Direction
  • Newsroom
  • Contact
    • Got a letter?
    • Respond Online
  • Careers
  • Client Login
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