Medical Bill Review and Oversight

Auditing bills helps identify savings, reduces fraud, and saves you money.

AmeriHealth Casualty Services’ medical bill review system re-prices provider charges to the lesser of the state fee schedule or our proprietary negotiated discounted fees. Our system also maintains accurate claim payment records and prevents the issuing of duplicate payments.

The benefits of this standard service are:

• Re-pricing bills to the lesser of the state fee schedule or the contracted amount
• Unnecessary charges, such as overlapped billing or unrelated fees are eliminated
• The auditing process ensures that providers do not balance bill your injured employees
• If there is a problem with a bill or claim, we handle all communications with providers