Counseling - Consulting - Bill Review
The Lutz- San Filippo's Private Label Bill Review Services allow clients to provide medical bill review services to their client in order to process workers' compensation, auto, group health provider, hospital, or pharmacy bills to client specific or state specific fee schedules, usual and customary rates, or policy schedules. The system processes claims for all 50 states. The services are also availible directly to claims processing organizations.
Lutz-San Filippo utilizes its own proprietary systems, Archimedes, to adjudicate medical bills.
FEATURES OF PROVIDER BILL REVIEW SERVICES
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Bills are reviewed and adjudicated to prevailing State Fee Schedule or Reasonable & Customary fees
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Preferred Provider Organization discounts are applied
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Other special discounts are applied
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Bills are further reviewed and adjudicated for:
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Over Utilization
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Usual and Customary Fees
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Prevailing Billing Practices
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Electronic data interface (EDI) capabilities to electronically transmit claims and bill review data to and from the customer and Lutz- San Filippo
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Monthly Activity Report
BENEFITS OF PROVIDER BILL REVIEW SERVICES
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Provides a new revenue stream for case managemdnt companies
- Reduces medical claim costs
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Provides medical management screening
- Primary feature of a managed care program
Lutz- San Filippo offers access to the P.P.O. networks we have contracted with to provide medical services, hospital, pharmacy, and supplies. The Lutz- San Filippo Archimedes also can accommodate multiple provider networks.
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