BILL
REVIEW
Peregrin reviews all medical provider bills for reasonableness,
accuracy, and compliance with the current California Official
Medical Fee Schedule (OMFS) within three days of receipt.
Contracting PPO providers are identified and the bills
are re-priced according to the contract rates.
Custom Program Features:
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All previously
reviewed bills are identified in our history file,
stamped with "Previously
Processed" and returned at no charge.
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Over-lapping dates of service
and duplicate charges are deleted.
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PPO providers are identified
and contract rates applied, including pharmacy.
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Each explanation of benefits
(EOB) lists the cumulative number treatment days for
each claimant per provider. |
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The header on Peregrin's EOB
has all the Labor Code requirements that constitute an
objection letter to the provider, in case of a legal
dispute.
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Peregrin has a stringent quality control program. Every EOB
is checked by senior personnel against the original bill.
Peregrin considers the support of our reviews as an integral part of our service.
Prompt response to provider inquiries are routinely handled by Peregrin's senior
staff.
Peregrin provides representation at WCAB hearings and trials relative to liens
and bill reduction disputes as needed.
Detailed management reports are provided each month.
VERY COMPETITIVE PRICING
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