See CAVO IB Reviews auto-extract, filter, and sort data

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CAVO® Itemized Bill Reviews intakes itemized bills and auto-extracts data so health plan reviewers can:

Sort and filter itemized bill data

by revenue codes, dates of service, and item descriptions

Make line adjustments

for accept/reject by line using organization-specific reason codes

Utilize real-time totals

with auto-summed adjustments and charges

Create provider reports

with auto-generated headers

1:1 LIVE DEMO

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CAVO Payment Integrity Solutions - Client Success Story

Client Snapshot

Regional Health Plan, Prepayment IB Reviews

THEN

Payment integrity nurse reviewers requested itemized bills directly from the provider or exported from the hospital EMR – and received both as PDFs. They then reviewed the charges line-by-line and manually keyed denial reason and reported rejections to the provider.

NOW

Payment integrity nurse reviewers replaced the manual line-by-line review process with a targeted approach based on filterable, sortable itemized bill data. They are leveraging CAVO’s open API to import the captured IB data directly into the plan’s internal workflow—ensuring IB reviews are completed within a single platform.

What Our Clients Are Saying

“As a member of the beta group for the CAVO IB Reviews initiative, I was impressed with how well the technology translated our itemized bills into usable, sortable data. I found that the technology cut my average itemized bill review time by two-thirds. As a CAVO user of more than a year, I’ve experienced the platform evolving, and I’m excited about the possibilities as CAVO IB Reviews is also continually enhanced to improve efficiencies throughout the review process.”

Claims Analyst, IB Reviews Partner