Claim Management

Medical Bill Review

Medical Bill Review

Millions of dollars in workers' compensation claim savings can be lost if medical providers mischarge for their services. To help avoid excess charges The Hartford has a staff of professionals who are dedicated to the review and reconciliation of workers' compensation billing.

Proprietary medical-review software:

  • Reprices bills based on state-approved rules, fee schedules, and usual, customary, or reasonable rates
  • Applies rates negotiated with network providers
  • Identifies duplicate invoices, line items and unbundled or upcoded charges
  • Verifies the accuracy of billing codes
  • Verifies that injury dates are consistent with invoice dates
  • Checks for compliance with state-allowed procedures

 

The suggestions and information contained herein are provided for informational purposes only and are not intended to be all-inclusive. Please refer to the issued policy for specific details regarding coverages, conditions and exclusions. In the event of a conflict between the terms contained herein and the policy, the policy terms and conditions will prevail.

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