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
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Automated policy coverage tracking
Daily tracking of policy limit paid to date, deductible applied, and copay balance
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Configurable, compliant EOR
Client-configurable Explanation of Review displays policy reductions and compiles with New York State Form NF-10 requirements
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Shield adjuster portal
Single sign-on access to tools for fast, effective medical bill management, review of UR decisions and team workload management
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Pathways dynamic rules engine
Easily apply your specific rules for bill routing, review, and repricing to improve adjudication and exception handling
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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
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SmartAudit tool
Powerful bill auditing tool for internal quality control and reporting