The purpose of the Cost Containment Unit is to analyze, review and recommend
payment to medical providers, hospitals, ancillary medical providers,
rehabilitation services and pharmacies.
- Knowledgeable medical specialists, including registered nurses and physician advisors, along with state of the art software, help achieve maximum cost savings
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Medical bill reviewer professionals analyze, review and recommend payment
to medical providers based upon statutory rules or guidelines and/or provider
reimbursement contract amounts
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Medical reimbursements are reduced, on behalf of our clients, to the level appropriate in terms of:
- Medical necessity
- Treatment actually rendered
- Adjuster authorizations
- Usual or reasonable and customary charges
- Utilization practices
- Applicable fee schedules
- Contracted agreements
- Timely payments to providers meet statutory regulations on the type and amount of reimbursement and significantly reduce costs to clients
Workers' Compensation
Utilization Management
03/01/2026
