Medical Bill Review
Procura manages the proper review and timely processing of workers’ compensation medical expenses in accordance with state laws. Bill review services are available as a stand-alone solution, or bundled with our hospital and physician network services. Medical bills are re-priced through proprietary software to ensure that clients receive the lowest net price for all medical services rendered. Combining the correct balance of automation with clinical judgment by trained medical analysts and nurses, the program achieves maximum savings.
Procura’s out of network management program ensures that bills are paid at a favorable rate and provides payers full visibility into services rendered across an entire book of business. The program identifies bills where continued care is expected; the patient is channeled into in-network providers to increase the number of claims prospectively managed.
Contact a Procura representative to learn more about our Procura's bill review program.
