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Medical Bill Review and Claims: The Devil is in the Details

Doing legwork upfront will help insurers optimize medical bill review and reduce claims leakage.

By Christopher Tidball | Updated on November 21, 2013

Having been on the front lines of claims vendor management for a number of years, I will be the first to attest that things are not always what they seem. As much as insurers would like to commoditize many aspects of the claims procurement process, the reality is that vendor selection is far from simplistic. 

From subrogation and salvage to legal counsel and private investigators, there is often a temptation to shoot for the lowest price. But is the lowest price really the lowest price? Rather than focus on price, the focus should be on the ultimate net cost. Perhaps nowhere is this more evident than on the medical bill review front.

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