Strataware® Medical Bill Review for Workers' Compensation

Accurate, automated and adaptable bill review processing that's always ready when legislative and organizational changes come.

Platform Overview

Industry Leading Solution for Workers’ Compensation Medical Bill Review

Even if your workers comp bill volume is relatively small, no claims organization can manually audit every medical bill for every claim and stay on top of constantly changing state fee schedules, provider network agreements, laws and regulations.

Conduent’s all-encompassing medical bill review platform delivers the leading-edge features and functionality that high-performing claims programs need to unlock the highest savings while improving the effectiveness of their teams.

  • Flexible deployment: Available as on-demand software (SaaS) or a full-service offering ― Strataware Service+ Outsourced Medical Bill Review
  • Compliance monitoring: Timely regulatory updates maintained by our compliance and quality specialists
  • Security management: Comprehensive security oversight and SaaS-specific best practices
  • Dashboards and Reports: Dynamic data management tools provide real-time views of bill counts and adjuster metrics

Strataware® Features

  • Shield Claims Portal

    New adjuster interface provides quick access to tools for bill management, claims monitoring and workload balancing

  • Pathways Rules Engine

    Unparalleled customization for executing business rules and automating decision-based workflows

  • Compliance Library

    On-demand regulatory and jurisdictional information, resources and alerts

  • CareControl® Utilization Management

    Decision manager enforces utilization review authorization decisions and improves financial controls

  • Treatment Guidelines Alerts

    Compliance feature assesses billed services using ACOEM or ODG guidelines and color-flags them for review

  • Allowance Calculator

    Easy to use feature for provides reimbursement lookups for pharmacy or professional review

alert monitoring
26 M
bills processed
average savings

Our New User Interface Will Change the Way You Work

Shield is our single sign-on portal for real-time interaction with Strataware® bill review. Designed uniquely for the needs of casualty claims adjusters, Shield provides access to a powerful suite of applications for maximizing productivity and improving claims outcomes.

View Strataware® Shield Claims Portal Brochure

First Party Auto Casualty Solution

Integrated bill review module for personal injury protection and medical payments claims

Learn More