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Client Solutions

Provider Bill Review

Coventry Workers’ Comp Services’ (“Coventry”) bill review program uses highly sophisticated software systems, effective and efficient workflows, and a technically proficient bill review staff to deliver the most comprehensive and professional bill reviews available to workers’ compensation claims payors.
 
Coventry’s bill review system provides a national rules-based bill review service with the flexibility and scalability to accommodate our clients’ needs. Our unique Web-centric platform uses Enterprise Java Bean and Web application server technology. We apply the latest fee schedules, usual and customary rules, proprietary code-specific clinical edits, and automated provider network discounts.  
 
Additionally, our bill review system is integrated with our front-end processing operation to provide additional process efficiency and reduce bill turnaround time. Our front-end processing includes scanning, optical character recognition, formatting, storage, and the distribution and retrieval of all information required in the bill review process.

State Fee Schedules
Review information regarding Workers' Comp and Auto fee schedules

OUR NETWORK INCLUDES

The Coventry Integrated Network®
Our broad-based PPO offering >>
Metracomp
NY state certified network focused on positive outcomes and savings >>
Managed Care Organizations
Two types of MCO programs help clients comply with state-specific regulations >>
© Copyright 2013 Coventry Health Care Workers Compensation, Inc.