Strataware® Auto
Medical Bill Review
Driving high-performing claims processes with solutions designed for first-party medical auto carriers
Medical bill review for
auto insurance carriers
Reports indicate that the number of miles driven are increasing and so are the number of medically consulted injuries. Be prepared with Conduent. Our Strataware platform ensures that every charge is compensable, appropriate to the motor vehicle incident and compliant with the latest state laws and statutes; while also confirming final payment recommendations accurately reflect deductibles, copays and policy limits.
Enhance your auto injury medical claims management with automated features
Automated Policy Coverage Tracking
Real-time tracking of policy limit paid to date, deductible applied, and copay balance
Configurable and Dynamic EOR
Explanation of review is configurable and only displays policy reductions when a reduction has been applied New York State Form NF-10 compliant
Shield Adjuster Portal
Single sign-on access to real-time dashboards and actionable tools for bill management, claims monitoring and workload balancing
Pathways Dynamic Rules Engine
Easily apply your specific rules for bill routing, review, and repricing to improve adjudication and exception handling
Shield Provider Portal
Enables provider self-service to verify claim information and check the status of bills as they flow through adjudication and payment processes
SmartAudit Tool
Powerful bill auditing tool for internal quality control and reporting. Enables provider self-service to verify claim information and check the status of bills as they flow through adjudication.
New Jersey Solutions
Conduent provides a complete solution to help you manage compliance with the Automobile Insurance Cost Reduction Act (AICRA) for New Jersey first-party casualty claims.