REPRICE -Medical Bill Review
Source: National Healthcare Resources
RePrice is a rule-based system that facilitates the review and repricing of medical bills for payers of Automobile and Workers' Compensation claims
RePrice is a rule-based system that facilitates the review and repricing of medical bills for payers of Automobile and Workers' Compensation claims. The rules server includes the application of state fee schedules, Usual and Customary values, PPO discount schedules, clinical edits, duplicate detection, and a robust set of utilization review criteria. The RePrice rules server is dynamic and formula driven, allowing rapid customization and facilitating maintenance.
RePrice can be accessed from a standard Web browser on either a private intranet or through a secure Internet connection. The tiered architecture provides support for distributed data entry and the electronic submission of bills.
National Healthcare Resources, 5310 Ward Road, G6, Arvada, CO 80002. Tel: 888-944-2285; Fax: 303-425-3201.
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