National Managed Care Payer Saves Over $2 Million in 10 Minutes

Multi-line Managed Care Enterprise Reviews FI

A National Multiline Managed Care Payer serving as a central intermediary for government-sponsored and privately insured healthcare programs needed to audit one of their larger itemized bills. The extensive audit would be a time-intensive process involving a variety of formats and long documents. To help optimize the process for speed, efficiency, and accuracy, the Managed […]

Plan Client Success – CAVO Prepay IB Reviews

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/ PREPAY REVIEWS / ITEMIZED BILL REVIEWS / Regional Health Plan Decreases Pre-Pay Hospital Bill Review Time by 500+% Per Case Using IB Reviews THEN This regional health plan has an internal team of RNs performing hospital bill pre-pay IB reviews. Nurse reviewers previously either:  requested the itemized bill (IB) directly from the provider based on […]