ONTELLUS MEDICAL CANVASSING DEFENDS AGAINST CLAIMS FRAUD
Ontellus has completed over 1.5 Million medical canvasses on a national scale, providing the expertise to uncover and verify medical treatment history. With proven and streamlined workflows implemented for all major business lines in all 50 states, the Ontellus large facilities database is constantly verified.
Ontellus’ size and scale allows for technology investments that provide the top levels of security, usability, and automation. Our flat fee pricing makes billing a straight-forward and transparent process.
Utilizing our proprietary technology, MedCheckPro™, the Ontellus Medical Canvass Analysts search the specified area(s) and gather detailed information that may indicate the presence of a possible pre-existing condition. Our team of professionals has years of knowledge, skill and expertise at finding and identifying pre-existing conditions that claimants may not disclose.
Ontellus canvasses all medical facilities, clinics, physician offices, specialists, laboratories, physical therapy clinics, gyms, and pharmacies within a specified radius of the residence or workplace with the ability to extend the search if necessary.
Canvassing can assist all lines of insurance associated with any bodily injury claim (i.e. workers’ compensation, auto bodily injury, and disability). Irrespective of the line of insurance involved, the key point of consideration is that at any time a claimant and/or their attorney may knowingly withhold information pertaining to a claimant’s medical treatment history.
Determine if the claimant received treatment prior to the date of loss
Verify the alleged injuries are not those for which the Claimant previously sought treatment
Helps determine whether the Claimant has a history of injury claims
Assess whether the reported injuries occurred outside the course of employment
Discover unknown treatment information not previously disclosed by the claimant or claimant’s attorney
Uncover possible patterns of addiction or drug-seeking behavior
Substantiate claimant statements about prior medical treatment and reveals possible material misrepresentations
Provide treatment information for specific time periods when conducting searches for pre-existing conditions
BENEFITS TO PARTNERING WITH ONTELLUS
Execution accuracy which improves speed, comprehensiveness and cost savings
Customers can order in any market and have the flexibility to customize requests and how results are delivered
Better integration options, easy to use online access, analytics tools that help simplify case reviews
Billing transparency to enable accurate budgeting for file reserves
Provides time and cost reductions during the claims review process
