Paper bills are a common practice in workers’ compensation due to out-of-network pharmacy fills, or medications dispensed from a physician office.
Because these bills can come from different sources and hold different pieces of information, it may be difficult for payers to understand the amounts they are being charged, what services they are charged for, what happens if there is missing information on the bill and what is happening to the bill data.
All of that should be answered in bill review, so having the right bill review partner can make a big difference financially.
In this article with Risk & Insurance, MyMatrixx experts Viviana Brantley, chief operating officer, and Liane Fritch, operations director, compare the MyMatrixx paper bill review processes to that of a typical bill review vendor.
You’ll learn the difference in how the MyMatrixx process:
• Handles the approximately 30% of paper bills that have missing information necessary to process the bill
• Eliminates some administrative overhead because the adjuster or client touches the bill only once
• Ensures the prescription aligns clinically with evidence-based guidelines, formularies, and industry best practices
• Captures important data for better claim management
• Splits pharmacy and medical to make sure they are paid appropriately
That’s the true value MyMatrixx brings to the process.