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
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.
Software Enhancements
Ensure you’re only paying appropriate and compensable medical expenses. Download Brochure Strataware +Pay
Cost-saving electronic provider payment solutions for improving efficiency and transparency. Download Brochure Strataware Clinical Bill Review
Deep review of your large or complex bills conducted by our clinical experts. Download Brochure Strataware® Utilization Review
Experience seamless integration of utilization review and peer review decisions into bill review. Download Brochure
First Party Auto Casualty Solution
Integrated bill review module for personal injury protection and medical payments claims
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