Workers Comp Bill Review
The ICC bill review program uses cutting-edge software systems, effective and efficient workflows, and an experienced bill review staff to deliver the most comprehensive and professional services available to workers’ compensation claims payors. The ICC solution leads the industry in its unique combination of performance software, client services, and best-in-class partnerships.
ICC’s bill review system provides a national rules-based bill review service with the flexibility and scalability to accommodate our clients’ needs. We apply the latest fee schedules, usual and customary rules, proprietary code-specific clinical edits, and automated provider network discounts. In addition to the market leading bill review software suite, ICC offers solutions designed to help customers increase operational efficiencies and cost containment in the broader claims environment with unsurpassed turnaround time.
Key Solution Components
• Extensive coding review and repricing
• Automatic fee schedule and state law adjustments
• Contractual provider discount application
• Customizable utilization review parameters/flags
• Robust duplicate bill detection: 99.9% accuracy vs. 85% industry average
• Aggressive fraud detection
• Seamless referrals to our Negotiations unit
Claims Transmission Options
- Fax
- File Transfer Protocol (FTP)
- PDF or comparable image file format
- Batch exports in CSV format
- For other methods and file formats contact ICC
