A computer assisted audit program used in conjunction with Case Management and Utilization Management that provides an accurate method of verification of provider charges and conformity to state mandated fee schedules.

• Quick turn around (48 hours) improves claim flow
• Local bill processing provides claim personnel with direct access
• Identify treatment or charges unrelated to accident, illness or injury
• Automatically update online history for each claim
• Set parameters for specific number of treatment units
• Detailed monthly or quarterly management reports
• Gives a cumulative history of medical expense
• Provides up to date analysis with respect to medical treatment
• Clearly identifies cost savings
• Offers claim adjusters increase control & identifies need for future review

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