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Medical Bill Audit & Record Review

Claim Summary & Claim Evaluation Tool

Get Claim Medical Bill Audit & Record Review Information

Compare Features & Select The Tool That Is Best For You

Features Medical Bill Audit Medical Bill Audit MBA Record Review MBA & Record Review
Organized Charge Data
Billing Totals
Total Reasonable Value
Review for Duplication
Review for Related Versus Unrelated Charges
Audited Using Standardized Fee Reference Methodology
Audited Using Standardized Fee Reference Methodology with Application of Geographic Modifier
Line Item Commentary to Explain Reductions
Compilation of Amount Paid, Adjusted, Paid by Patient, and Balance Due
Review of Medical Record to Substantiate Services Provided as Necessary for MBA (Medical Bill Audit) Completion
Medical Records Summary and Chronology of Pertinent Events  
Evaluation Conclusion  
Records Required All billing & statements including insurance EOB's and medical records All billing & statements including insurance EOB's and medical records

What Is A Claim Evaluation

A Claim Evaluation is an intelligent and comprehensive report that provides a functional road map to the most productive defense strategy and a clear breakdown of the facts you need for effective negotiation, expediting settlement and reducing indemnity.

Claim Evaluation Is Also

  • Your blueprint for an actionable defense
  • A tool to utilize when demand packets are sent
  • Identifies facts in the records needed to design the most effective case strategy
  • Ensures records hold no surprises for the case by reading between the lines for inconsistencies in the medical history, or missing information
  • Spend less time planning and more time moving towards resolution