Let us help you simplify and save.
Efficient and all-inclusive bill processing designed and built to best serve you. From juggling state and federal fee schedules to capture all medical bill and data fields for comprehensive reporting capabilities. Integra has the experience and tools to transform your workers’ compensation process.
We treat your money as if it were our own. We are thorough in our processing, validating data line by line, and rigorous in our application of accurate fee schedules and rules that guarantee you get maximum savings on every claim. And you can see it all for yourself, with real-time updates in your portal.
Turn-key or Custom
We create your software to meet your unique, complex needs.
Accurate
Bill review in accordance with state or federal requirements, nationally accepted billing, coding and reimbursement standards, and NCCI edits ensure bills are paid accurately, fairly, and quickly. We address first-level appeals, customer service, and support and generate a detailed explanation of review (EOR) customized to your specifications.
Adaptable
Easily incorporate updates to your software when healthcare, fee schedules, or government rules change.
Fast
Clean bills are processed in as little as a day and ready for review and approval through a web-based portal saving your staff valuable time. Images of bills and records may be accessed anytime during our review process. We can also provide you with electronic bill and record image files configured to your internal system needs.
Economical
Save money with our flat-rate fee model, unlike other companies that charge a percentage of their savings.
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Federal Workers’ Compensation Bill Review
We offer unparalleled savings and services to self-insured employers, third party administrators (TPA), fully-insured payors for claims administered by the U.S. Department Office of Workers’ Compensation Programs (OWCP):
Merchant Marine Act of 1920 (Jones Act)
Integra works with customers to designate a method of reimbursement that reflects fair and reasonable community based-renumeration for services with nationally accepted coding edits and reductions to address the parameters applicable to Jones Act claims.
State Workers’ Compensation Bill Review
Bill review in accordance with applicable state fee schedules or geographically appropriate usual and customary pricing using objective, nationally accepted billing standards, coding edits, and client specific rules.
Incorporate client-designated rules, integrate your existing PPO networks or wrap-around cost-containment arrangements for seamless, efficient results.
Generate payments directly to providers via paper check, EFT or virtual credit card, with customized explanation of review (EOR) or payment (EOP).
Contact us today to set up a demo.
(800) 555-1234