@Global Adds User Definable Rules Engine to Medical Bill Review Product
@Global, Inc. announced the release of its all new medical bill audit rules engine to a group of insurance industry executives gathered for the recent 38th RIMS Annual Conference and Exhibition in San Francisco. With this release, the Allegro integrated suite now includes an advanced and powerful medical bill review and repricing rules package for accurately adjudicating provider medical bills. This innovative, cost-saving functionality provides additional strength to Allegro's integrated, all-in-one solution for claims administration, care management, and medical bill review.
A powerful extension of Allegro's HCFA and UB repricing capability, the medical bill audit rules application is based on diagnosis codes, procedure codes, modifiers and other key elements. Users can define their own rules, or use a default set of rules that ship with Allegro. Insurance companies, third party administrators, employers and other users of the Allegro software can combine and automate the use of state fee schedules, PPO rates, state rules with their own expertise to accurately reimburse providers on a timely basis. Additionally, because Allegro fully integrates claims and care management, medical bills are automatically compared with treatment plans and medical authorizations.
Allegro is both scaleable and flexible in scope, thus able to meet the needs of a wide variety of insurance-related organizations. Like the rest of the Allegro suite, the medical bill audit software is an advanced, three-tier client/server architecture making it popular with users and IT departments alike. It requires minimal training and is easy to implement. The Allegro suite of claims, care and medical cost management products supports single and multiple lines of insurance, and is available fully integrated or on a stand-alone basis.
Based in Fort Lauderdale, Florida, Global serves insurance companies, third-party administrators, professional employment organizations, employers and managed care organizations. For a more detailed description of the Allegro integrated suite of software products, visit the company's website,