Technology
Medical Bill Review


Worker's Compensation claims typically generate an abundance of medical bills. Good claims adjusters know the importance of timely medical bill payments that are in accordance with legal requirements.

Today's medical bills are usually on the HCFA-1500 form and contain ICD-9 and CPT4 codes for diagnosis and treatment. Hospital bills are usually on the UB92 form. By analyzing the details of these types of bills through a sophisticated electronic mechanism, our systems detect improper billing and also apply state mandated fee schedules, per diems, or usual and customary allowances.

We're prepared for change as the U.S. healthcare industry standardizes on electronic billing through EDI.

As a TPA, FARA leads the industry in connecting an external bill review system with a highly developed, mature engine to our Claims Expert system to efficiently adjudicate medical bills.

Our relationship with Ingenix and use of their PowerTrak system enables us to deliver world-class bill adjudication services. Here's why we are better:

  • Fast bill adjudication (clean bills turn in less than 8 days)
  • Strong rules to avoid duplicate payment despite duplicate billing
  • Performance reports that prove "true" savings after fees
  • Skilled professionals focused on clear business objectives

 

FARA is an insurance services provider of risk management solutions and benefits administration
to insurance companies, self-insured corporations and governmental entities.


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