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MediCall has developed Medical Bill Review
solutions that integrate into your existing business model or can
provide a turn key service independently. Our highly trained bill
review specialists and clinical professionals are capable of providing
a complete service bureau solution or a fractional solution, which
is integrated into your existing internal model, by performing a
number of standalone components via logging in remotely to your
existing systems and applications. MediCall supplements your existing
resources to improve timeliness, productivity and, most importantly,
deliver superior savings and outcomes.
Service Bureau
MediCall's bill review service bureau provides state of the art
technology combined with clinical and regulatory expertise to deliver
superior results to our customers. Our approach identifies inaccurate,
inappropriate and excessive charges on medical bills by integrating
an array of saving methodologies as well as automated customized
client processing rules into the adjudication process.
- Fee Schedule/Usual and Customary
- Complex Bill Review
- Nurse/Clinical Review
- Specialty Medical Bill Review
- Out of Network Negotiation
- Application of Utilization Review Determinations
- National/Regional PPO and Ancillary Medical
Network Coverage
- Application of customized network solutions
- CA MPN and TX HCN
- E-Billing
Component Outsourcing
MediCall's Medical Bill Review component outsourcing model provides
complete flexible solutions to customers medical bill review programs.
Remotely accessing our client's platform via our secure site, MediCall
can augment your clinical and non-clinical staff to maximize the
outcomes that you provide your clients.
Our flexibility allows our customers to
choose where MediCall can integrate into their existing programs
while continuing to differentiate themselves in the market place.
Components that MediCall can perform on your behalf are as follows:
- Fee Schedule/Usual and Customary
- Complex Bill Review
- Nurse/Clinical Review
- Utilization Review Determinations
Copyright © 2009 MediCall. All right reserved.
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