Medical Expense Management Made Easy

Insurance is a transaction-intensive business. Decision-making necessitates constant review of lengthy and confusing data, but the process can be a drain on time and resources and may not always yield the best decision. Corporate Systems (CS) makes decision-making easier and more effective by providing solutions specifically designed to solve the problem.

For example, CS MedBillPro is fast, flexible, browser-based technology with state-of-the-art decision support, workflow and performance management for medical expense management. Comprised of two components eBillPro and Medical Cost Management (MCM), CS MedBillPro is a single source solution for efficiently collecting, processing, analyzing and re-pricing the medical invoices for workers compensation and automobile bodily injury. Because it minimizes human intervention of invoice handling, productivity drastically increases, and money is saved. In the year 2002 alone, CS MedBillPro reduced CS clients medical loss costs by more than $1.76 billion.

CS MedBillPro has several key differentiators. In addition to delivering significant loss cost reductions, the capabilities of the CS MedBillPro platform have enabled CS clients to reduce administrative costs, re-engineer their workflow and implement new business models.

OCR/Scanning Integration CS provides customers with OCR/scanning solutions and integration support eliminating resource intensive input processes and significantly improving data quality.

eBillPro – Electronically matches submitted invoices and attachments to the appropriate claims and provider, thus eliminating the need for redundant data entry. Mailroom functions such as pre-screening, indexing and data entry are eliminated. This provides the ability to view the scanned bill and attachments throughout the invoice review process. CS customers have achieved a matching of 71% of invoices submitted electronically, to the correct claim and provider passing all necessary edits. In one case, this enabled a 45% staff reduction.

Exception Manager Automated assignment, queue tracking/management and operational reporting enable users to review, correct and re-process any exceptions. This is done electronically without the inconvenience of dealing with the paper/physical invoice.

PPO Link In addition to automated PPO re-pricing and support of best-of-class network selection, CS offers bi-directional, electronic network connectivity enabling optimal network penetration/savings and the ability to choose the right PPO or third party specialty network by state, customer, bill type or other pertinent options. PPO Link enables the networks identification of all participating providers, ensuring automatic application of the networks negotiated fees.

Technical advantages need to be considered when looking at solutions providers. As an application service provider (ASP), CS hosts the application, thus reducing the costs involved for the customer to administer an in-house system. Corporate Systems is recognized throughout the industry for offering high volume customers scaleable solutions with high reliability and data integrity. Our customers are able to experience the value immediately without significant capital expenditures and long risky development cycles.

Advantages of this structure include employees who specialize in specific state rules and regulations, introducing new enhancements on a scheduled basis, data backup and disaster recovery for both the application and data, scheduled updates for usual and customary rates (UCR), state fee schedules, utilization guidelines, clinical logic, and more.

CS MedBillPro offers Corporate Systems clients a way to efficiently handle what is an overwhelming medical bill process. Best-in-class components allow for faster, easier claims processing and bill re-pricing, fully customizable reporting options, and the assurance of the most recent release of the software. Only with CS MedBillPro can a bill processor simultaneously increase loss cost savings, decrease administrative costs and increase quality.

Corporate Systems congratulates IASA on 75 years of dedication and service to the insurance industry.
For more information, visit Corporate Systems on the Web at www.csedge.com