Medical Bill Review

Rising Medical Solutions Announces Release of VISION™ 3.0 Healthcare Management Platform | PR Newswire | 9/15/2020

… payer customers. This is among the largest releases for Rising’s proprietary platform and it provides claims payers with one-stop, medical management capabilities across the entire continuum of medical care. From early intervention to medical bill review and payment processing, Rising’s comprehensive care management and cost containment services are all available and fully integrated under this single VISION™ 3.0 platform. Key to creating a unified VISION™ user experience is providing …

Rising Medical Solutions Announces Release of VISION(TM) 3.0 Healthcare Management Platform | 9/15/2020

… payer customers. This is among the largest releases for Rising’s proprietary platform and it provides claims payers with one-stop, medical management capabilities across the entire continuum of medical care. From early intervention to medical bill review and payment processing, Rising’s comprehensive care management and cost containment services are all available and fully integrated under this single VISION™ 3.0 platform. Key to creating a unified VISION™ user experience is providing …

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Aug 21, 2020 - Corvel Corp (CRVL) CEO & President Michael G Combs Sold $1.8 million of Shares - GuruFocus.com | 8/21/2020

CEO & President of Corvel Corp ( 30-Year Financial , Insider Trades ) Michael G Combs ( insider trades ) sold 22,311 shares of CRVL on 08/21/2020 at an average price of $80.85 a share. The total sale was $1.8 million. CorVel Corp provides case management, claims administration, and medical bill review services to payors to administer, manage and control the cost of workers compensation and other healthcare benefits. CorVel Corp has a market cap …

Conduent Transportation Completes Implementation of First Phase of Next-Generation Fare Collection System in Flanders | PR Newswire | 8/6/2020

… U.S., 11 million employees who use its HR Services , and nearly nine million people who travel through toll systems daily. Conduent’s solutions deliver exceptional outcomes for its clients including $17 billion in savings from medical bill review of workers compensation claims, up to 40% efficiency increase in HR operations, and up to 40% improvement in processing costs, while driving higher end-user satisfaction. Learn more at www.conduent.com . Media Contacts: Robert …

Business News: Mitchell and Comp Alliance, Verisk, One Inc., Trov | 12/4/2019

Mitchell Genex Acquires CompAlliance Mitchell Genex has acquired CompAlliance, a national managed care service provider for the workers’ compensation industry. CompAlliance’s preferred provider organization, medical bill review , case management, utilization review and 24-hour nurse triage services will become a part of Mitchell Genex. Mitchell International, a claims management provider based in San Diego, merged with Genex late last year. “Adding CompAlliance to Mitchell Genex was a natural fit for …

Mitchell | Genex Acquires CompAlliance, Expanding and Enhancing Managed Care Services | 12/2/2019

Blog This Mitchell Genex , a leader in technology solutions, medical cost containment, and disability management, has announced its acquisition of CompAlliance, an established provider of managed care services, including its Preferred Provider Organization (PPO), Medical Bill Review , Case Management, Utilization Review, and 24-hour Nurse Triage. Financial Terms were not disclosed. With this acquisition, Mitchell Genex furthers its position as a market leader in providing the broadest continuum of best …

Bill Brown Promoted to AmeriTrust President, Non-Affiliated Carriers and TPA/Fee Services | PR Newswire | 11/20/2019

… new business development including commercial P&C insurance brokerage, H&B brokerage, and business risk consulting including program analysis and eSolutions risk technologies. In other roles, his experience has involved leading a team introducing medical bill review , pharmacy benefit management and other related activities on a national scale. Mr. Brown began his claims career as an adjuster with Sedgwick and eventually the claims manager of the Michigan Underground Storage Tank …

(USA-NY-Woodbury) Claims Preparation Clerk - Woodbury, NY | 11/13/2019

… York Claims Preparation Clerk - Woodbury, NY Woodbury, New York, United States at https://geico.referrals.selectminds.com/jobs/10861/other-jobs-matching/location-only New R0007108Requisition Job Duties & Responsibilities GEICO is looking for individuals to join our Medical Bill Review Department as a Claims Preparation Clerk. Candidates must be organized, detailed-oriented, responsible and self-motivated. They must also have the ability to balance accuracy in data entry along with the ability to …

EK Health Keeps San Francisco Moving | PRWeb | 11/4/2019

… San Francisco, California. Since 2013, EK Health and CCSF have partnered to provide injured workers with the best possible medical care for work-related injuries and illnesses. In 2017, those services expanded to include medical bill review and repricing solutions, along with utilization review. EK Health looks forward to partnering with SFMTA and their third-party administrator, Intercare, to continue optimizing workers’ compensation outcomes for CCSF’s and SFMTA’s employees. EK …

Industry demand for electronic payment solutions accelerating | PR Newswire | 10/28/2019

… 6-7 at Mandalay Bay in Las Vegas to learn more about how ProPay® can assist your organization, as well as the other Jopari products that are helping payers eliminate paper in their claim and medical bill review operations. About Jopari Jopari Solutions, Inc. is a healthcare information technology company supplying innovative healthcare Attachment management and flexible medical payments products; and integrated eBill compliance and flexible medical payments for Workers’ Compensation …

EK Health Hits The Slopes With Vail Resorts | PRWeb | 10/21/2019

… President and COO of EK Health Services, Inc. SAN JOSE, Calif. We are delighted to announce that effective October 1, 2019, EK Health Services, Inc. is providing Vail Resorts, Inc. with medical case management, medical bill review , utilization review, Medicare set aside services and clinical specialty services for their national workers’ compensation claims. For the delivery of advanced pharmacy solutions, we’ve partnered with RxBridge, a leading pharmacy benefits management company …

PPO Appeals Coordinator | 10/8/2019

… nurse reviewers, and adjusters. Job Duties Manage intake and review medical bill appeals, provider inquiries, legal demands, arbitrations, lawsuits, DOI audits and complaints related to PPO discounts per designated workflows Communicate with external clients, medical bill review processors, code and nurse reviewers, adjusters, law firms, and PPO network vendors to provide supporting documentation to defend or resolve PPO disputes Track open cases and follow up for closure within designated turn …

Medliminal Ribbon Cutting Ceremony | Business Wire | 7/1/2019

PRINCE WILLIAM COUNTY, Va.- Medliminal, a medical bill review company that offers clients healthcare cost-saving solutions by identifying non-compliant charges, celebrated their new headquarters with a Ribbon Cutting Ceremony. In August of 2018, Medliminal moved their corporate headquarters to Innovation Park, Prince William County, Virginia. The new office is 17,400 sq. ft. and required some contracting and design work to make the building supremely functional for the team …

(USA-IL-Schaumburg) Medical Bill Review Associate III | 6/28/2019

Zurich NA Medical Bill Review Associate III in Schaumburg , Illinois Medical Bill Review Associate III Description Zurich is currently looking for a Medical Bill Review Associate III for our Schaumburg, IL office. This position with moderate supervision, will provides medical bill review expertise related to complex bill review processes and activities that may require extensive research. Interacts with multiple stakeholders and outsourced vendors to ensure medical bills are processed in …

Brett Drexelius Joins Medata as Executive Vice President - Business Wire | 5/29/2019

… we serve to help the company continue to develop innovative, value-based product offerings and accelerate its solid growth trends,” Drexelius said. ABOUT MEDATA A privately held company based in Irvine, California, Medata originated medical bill review in 1975 and continues to provide the most comprehensive cost containment and document management software and solutions for the insurance industry. The company serves insurance carriers, self-insured companies, third-party administrators, state …

\n FLORHAM PARK, N.J. \n ,\n Dec. 6, 2017 \n \/PRN | 12/7/2017

n FLORHAM PARK, N.J. \n ,\n Dec. 6, 2017 \n \/PRNewswire\/ – Medical bill review has transformed the way workers’ compensation claims are paid, but there are still roadblocks in traditional, paper-heavy and time-consuming workflows.\n \n \n \n \n \n \n \n Demonstrating how claims payers and administrators can overcome these roadblocks and use technology to increase savings,\n Conduent Incorporated \n , (NYSE: CNDT), the world’s largest provider …

Conduent Presents the Future of Bill Review Technology at the National Workers’ Compensation & Disability Conference | PR Newswire | 12/6/2017

Conduent Presents the Future of Bill Review Technology at the National Workers’ Compensation & Disability Conference News provided by 09:00 ET Share this article FLORHAM PARK, N.J. , Dec. 6, 2017 /PRNewswire/ – Medical bill review has transformed the way workers’ compensation claims are paid, but there are still roadblocks in traditional, paper-heavy and time-consuming workflows. Demonstrating how claims payers and administrators can overcome these roadblocks and use technology to increase …

Conduent Presents the Future of Bill Review Technology at the National Workers’ Compensation | PR Newswire | 12/6/2017

FLORHAM PARK, N.J. , Dec. 6, 2017 /PRNewswire/ – Medical bill review has transformed the way workers’ compensation claims are paid, but there are still roadblocks in traditional, paper-heavy and time-consuming workflows. Demonstrating how claims payers and administrators can overcome these roadblocks and use technology to increase savings, Conduent Incorporated , (NYSE: CNDT), the world’s largest provider of diversified business services, will showcase its medical bill review technology at the National …

DRG Claims Management and SFUR Launch ClinicalDRG Service | Business Wire | 11/28/2017

… About SFUR NAIRO and URAC-accredited SFUR is based in Roswell, Ga., with a network of over 600 board-certified physicians, along with medical audit specialists, who provide peer and utilization review along with medical bill review services. www.sfur.com Contacts ClinicalDRG Scott Gladish, RHU, 1-800-294-0508 Vice President of Sales and Marketing [email protected]

Nicole Bianchi Joins Consolidated Services Group as Senior Vice President of Medical Bill Review Services | PRWeb | 11/3/2017

Consolidated Services Group (CSG), a leading medical claims management innovator, today announced that Nicole Bianchi has joined the organization as Senior Vice President of Medical Bill Review Services. Nicole will lead the company’s medical bill review services division, which includes medical bill review, medical bill audit and code review services. She will also lead an initiative to optimize departmental operations in pursuit of the utmost in efficiency and customer satisfaction …

Claims Management

Business News: Mitchell and Comp Alliance, Verisk, One Inc., Trov | 12/4/2019

Mitchell Genex Acquires CompAlliance Mitchell Genex has acquired CompAlliance, a national managed care service provider for the workers’ compensation industry. CompAlliance’s preferred provider organization, medical bill review, case management, utilization review and 24-hour nurse triage services will become a part of Mitchell Genex. Mitchell International, a claims management provider based in San Diego, merged with Genex late last year. “Adding CompAlliance to Mitchell Genex was a natural fit for …

DRG Claims Management and SFUR Launch ClinicalDRG Service | Business Wire | 11/28/2017

BROOKLYN, N.Y. & ROSWELL, Ga.- ClinicalDRG is a new partnership incorporating the expertise of DRG Claims Management of Brooklyn, N.Y., and SFUR of Roswell, Ga., to bring to market a premium solution for DRG Claim auditing … audit specialists, who provide peer and utilization review along with medical bill review services. www.sfur.com Contacts ClinicalDRG Scott Gladish, RHU, 1-800-294-0508 Vice President of Sales and Marketing [email protected]

Case Management

Business News: Mitchell and Comp Alliance, Verisk, One Inc., Trov | 12/4/2019

Mitchell Genex Acquires CompAlliance Mitchell Genex has acquired CompAlliance, a national managed care service provider for the workers’ compensation industry. CompAlliance’s preferred provider organization, medical bill review, case management, utilization review and 24-hour nurse triage services will become a part of Mitchell Genex. Mitchell International, a claims management provider based in San Diego, merged with Genex late last year. “Adding CompAlliance to Mitchell Genex was a natural fit for …

Mitchell | Genex Acquires CompAlliance, Expanding and Enhancing Managed Care Services | 12/2/2019

Blog This Mitchell Genex , a leader in technology solutions, medical cost containment, and disability management, has announced its acquisition of CompAlliance, an established provider of managed care services, including its Preferred Provider Organization (PPO), Medical Bill Review, Case Management, Utilization Review, and 24-hour Nurse Triage. Financial Terms were not disclosed. With this acquisition, Mitchell Genex furthers its position as a market leader in providing the broadest continuum of best …

Utilization Review

Business News: Mitchell and Comp Alliance, Verisk, One Inc., Trov | 12/4/2019

Mitchell Genex Acquires CompAlliance Mitchell Genex has acquired CompAlliance, a national managed care service provider for the workers’ compensation industry. CompAlliance’s preferred provider organization, medical bill review, case management, utilization review and 24-hour nurse triage services will become a part of Mitchell Genex. Mitchell International, a claims management provider based in San Diego, merged with Genex late last year. “Adding CompAlliance to Mitchell Genex was a natural fit for …

Mitchell | Genex Acquires CompAlliance, Expanding and Enhancing Managed Care Services | 12/2/2019

Blog This Mitchell Genex , a leader in technology solutions, medical cost containment, and disability management, has announced its acquisition of CompAlliance, an established provider of managed care services, including its Preferred Provider Organization (PPO), Medical Bill Review, Case Management, Utilization Review, and 24-hour Nurse Triage. Financial Terms were not disclosed. With this acquisition, Mitchell Genex furthers its position as a market leader in providing the broadest continuum of best …

Medical Case Management

Pacific Health Care Organization, Inc. Reports Third Quarter 2019 Results | Markets Insider | Business Insider | 11/14/2019

… Medical Bill Review, Medical Case Management, Lien Representation, Legal Support and Medicare Set-Aside services. “Safe Harbor” Statement: Statements included in this press release, other than statements or characterizations of historical fact, are forward-looking statements. Forward-looking statements are based on management’s current judgment, expectations, estimates, projections and assumptions about future events. While management believes these assumptions are reasonable, such statements are not guarantees of future results and involve …

Pacific Health Care Organization, Inc. Reports Third Quarter 2019 Results | Globe Newswire | 11/14/2019

… Medical Bill Review, Medical Case Management, Lien Representation, Legal Support and Medicare Set-Aside services. “Safe Harbor” Statement: Statements included in this press release, other than statements or characterizations of historical fact, are forward-looking statements. Forward-looking statements are based on management’s current judgment, expectations, estimates, projections and assumptions about future events. While management believes these assumptions are reasonable, such statements are not guarantees of future results and involve …

Medicare

Pacific Health Care Organization, Inc. Reports Third Quarter 2019 Results | Markets Insider | Business Insider | 11/14/2019

… Medical Bill Review, Medical Case Management, Lien Representation, Legal Support and Medicare Set-Aside services. “Safe Harbor” Statement: Statements included in this press release, other than statements or characterizations of historical fact, are forward-looking statements. Forward-looking statements are based on management’s current judgment, expectations, estimates, projections and assumptions about future events. While management believes these assumptions are reasonable, such statements are not guarantees of future results and involve …

Pacific Health Care Organization, Inc. Reports Third Quarter 2019 Results | Globe Newswire | 11/14/2019

… Medical Bill Review, Medical Case Management, Lien Representation, Legal Support and Medicare Set-Aside services. “Safe Harbor” Statement: Statements included in this press release, other than statements or characterizations of historical fact, are forward-looking statements. Forward-looking statements are based on management’s current judgment, expectations, estimates, projections and assumptions about future events. While management believes these assumptions are reasonable, such statements are not guarantees of future results and involve …

Conduent

Conduent Transportation Completes Implementation of First Phase of Next-Generation Fare Collection System in Flanders | PR Newswire | 8/6/2020

GUILHERAND-GRANGES, France and FLORHAM PARK, N.J. , Aug. 6, 2020 /PRNewswire/ – Conduent Transportation, a unit of business process services and solutions company Conduent Incorporated (Nasdaq: CNDT ), today announced that the first phase of its next … outcomes for its clients including $17 billion in savings from medical bill review of workers compensation claims, up to 40% efficiency increase in HR operations, and up to 40% improvement in processing costs, while driving …

\n FLORHAM PARK, N.J. \n ,\n Dec. 6, 2017 \n \/PRN | 12/7/2017

n FLORHAM PARK, N.J. \n ,\n Dec. 6, 2017 \n \/PRNewswire\/ – Medical bill review has transformed the way workers’ compensation claims are paid, but there are still roadblocks in traditional, paper-heavy and time-consuming workflows.\n \n \n \n \n \n \n \n Demonstrating how claims payers and administrators can overcome these roadblocks and use technology to increase savings,\n Conduent Incorporated \n , (NYSE: CNDT), the world’s largest provider …