Medical Programs - ESIS Impact

Medical Bill Review

Innovative, integrated technology and our clinical expertise ensure maximum outcomes.

ESIS Medical Bill Review’s dedicated team of coding specialists, auditors, and nurses perform all of our bill review processes to maximize your outcome. As a first step, we perform automated comparisons of your provider bills to verify that charges fall within state-mandated fee schedule guidelines, or within usual and customary charges.

In addition, ESIS’ Medical Bill Review services and solutions include:

  • Data integrity checks
  • Auto indexing to ensure bills are matched to the correct claim
  • Clinical edits
  • Application of negotiated network discounts
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