Mitchell, a provider of technology, connectivity and information solutions to the insurance industry, today announced that Alpha Review, a national medical bill review innovator, has chosen the Mitchell Health Ticket and Provider Lookup Directory to help reduce workers' compensation claim costs, according to a story insurance-business-review.com.
Mitchell provides solutions to the property and casualty claims and collision repair industries, according to the story.
The Mitchell Health Ticket and Provider Lookup Directory “is a web-based claim communications and PPO compliance solution that improves workers' compensation claims cost containment with better care communications and provider network penetration,” as reported in the story.
"The Mitchell Health Ticket and Provider Lookup Directory will help our payer clients increase preferred PPO utilization and improve the quality and timeliness of care with a solution that makes critical claims information and preferred provider networks available to all involved in a workers' compensation claim,” said Mike Drevalas, president, Alpha Review, in the story.
Added Nina Smith-Garmon, senior vice president and general manager of the Mitchell Workers' Compensation Solutions Division, “Mitchell is pleased to help add value to Alpha Review's medical bill review services. The Mitchell Health Ticket and PPO Lookup Directory, powered by VIIAD, is part of Mitchell's commitment to continually improve the cost containment opportunities available from the SmartAdvisor medical bill software suite of extended specialty pricing, PPO networks and compliance expertise solutions for workers' compensation claims."
SmartAdvisor is a solution that reviews claims for workers' compensation that includes “customizable workflow modeling, a robust business decision rules engine, data analytics and reporting tools, Claims Examiner Portal for fast, secured, real-time access to bill data and a proven technology platform that delivers on average 50-70 percent straight-through processing for improved efficiencies and lower costs,” according to the story.
Companies are always on the look-out for fraud. According to a PBS report, a team of experts claimed back in 2000 that the national cost for “fraudulent claims to be 1.2 billion dollars, roughly one-fourth of the insurance industry estimate,” though they did concede that “it was only about two-percent of all workers' compensation dollars spent in their sample year of 1998.”
Edited by
Rich Steeves
