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Integra Solutions

Customized to meet your unique needs.

Specialized Services

Money-saving software paired with expert technical and operational support.

We design and deliver customized software to meet the unique and often complex needs of each client at a speed and price point that is difficult to beat. Whether you seek to optimize revenue or increase savings, we dedicate the time and resources to understand your business, needs, and objectives. You can be confident you will have the tools necessary to achieve your objectives now and in the future with our ability to adapt the systems and software to your needs.

Beyond our technology, our highly experienced staff perform and automate vital processing steps to increase production capabilities, validate data, and reduce errors whether we perform the work on your behalf or work in conjunction with your team.

Whether you currently handle the functions in-house or through an outside vendor, we can transform your business, expand your capabilities, optimize efficiencies, improve performance, reduce your expenses and, in the case of bill review services, increase your savings.

Workers Compensation

Fast + Accurate

Integra has more than 25 years of experience performing medical bill review services for state and federal workers’ compensation programs.

From receipt of the initial bill to the generation of payments or payment files, We offer features and functionality to enhance and improve transparency and workflow. Medical bills and records are digitized and available in your customized portal for full transparency. An optional dynamic, web-based portal enables clients to review, approve or deny bills or request additional information from the provider of services. We can also generate an explanation of review as well as payments or generate payment files customized to conform to your system requirements.

Services Features:

  • Customization of software to fit all needs
  • Application of appropriate Fee Schedule
  • Digital conversion of medical bills and claims
  • Manual review and bill editing
  • Custom portal for review and editing
  • Annual savings report

Technology and Capabilities:

  • Accept bills through multiple clearinghouses in HIPAA compliant or proprietary format.
    Export bills via multiple clearinghouses in HIPAA compliant or proprietary format.
  • Convert paper bills to ANSI X12 format & retain images of the original bill and medical notes.
  • HIPPA-compliant interface updating in real-time to external PPO Networks.
  • Enable real-time access to bill status, images of bills and medical records, payment information, processing history, and reports through web portal.
  • Provide indexed export of bill and record images to client or third party.
  • Accommodate dynamic, multi-level adjudication functionality to approve, deny and/or modify reimbursement to conform to special negotiated rates.
  • Generate payment data to client/third party or disburse payments to providers.
  • Generate custom Explanation of Review (EOR).

If you are not saving at least 75% on your federal workers’ compensation medical bills before optional PPO or other products subject to shared savings, contact us to see how much we can improve your bottom line.

Our extensive experience in bill review for federal programs provides objective, defensible reimbursement recommendations in accordance with the parameters set forth by the Office of Worker’s Compensation Programs (OWCP), saving our clients at least 75% year over year.

Group Health

Optimization + Scaling

Our software is configured to meet your specific complaint and data requirements, paired with our refined workflow to improve your bottom line while increasing efficiency. Our automation enables us to efficiently adjust to meet changes in volume.

Services Features:

  • Customization of software to fit all needs
  • Digital conversion of medical claims
  • Manual review, verification, and claim editing
  • Custom portal for review and editing
  • Annual savings report
  • On-demand and scheduled reporting based on each client’s needs

100,000 claims processed every month

Additional Services

We also process liability and automobile claims. Contact us to learn more about our services and what we can build for you.