Performance Based
Review CP letters in a Clinical AI application built for
MSP Section 11.
Conditional Payments are made by Medicare for injury or illness services when another payer is responsible but has not paid. Medicare expects to be reimbursed once the primary payer settles the claim or covers the expenses. Compliance organizations manage and process Conditional Payment Letters (CPLs) to resolve claims efficiently and minimize costs.
The current industry standard for processing of CPLs varies but accuracy can be time-consuming. Verbotics Automated Conditional Pay, used by Third Party Administrators and compliance groups, speeds the process. Verbotics has collected metrics on processing of hundreds of thousands of letters. The result? Standard production is increased by 200% or more.
The application allows request responses in identical, easily reviewable format, creating uniformity in review workflow and automatically highlights potential errors. Use free hand language descriptions of Worker Comp injuries in addition to "Accepted Diagnosis Codes". Human experts can focus on review judgments instead of lookups and data handling.
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