OUR SERVICES - BILL REVIEW

The Seltzer Associates Bill Review System allows clients to process workers' compensation, auto, group health provider, hospital, or pharmacy bills to client specific or state specific fee schedules, usual and customary rates, or policy schedules. The system processes claims for all 50 states. The system is available on a PC or server based platform.

SYSTEM FEATURES INCLUDE:

  • Written in Visual Basic Access (VBA) and Oracle
  • Tailored to client
  • "Learning Tables" - develops its own usual and customary data with each bill processed
  • Unlimited number of value databases - pre-loaded with client's values
  • Generate EOBs to accompany bills
  • Capable of being linked to a utilization review software to check pre-certification of claims
  • In-depth reporting
  • Network ready
  • Sophisticated duplicate prevention module
  • Multiple PPO capability
  • Multiple policy schedule capability
  • EDI capabilities to receive and distribute data
  • Up sizable to SQL, Visual Fox Pro, VB, etc.
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