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Medical Bill Review

Our medical bill review process can help you reduce claim costs that directly impact premium and employer experience modification rates. Last year, we reviewed more than 55,000 medical bills that resulted in over $40 million in savings.

Medical Bills. Expertly Reviewed.

When it comes to medical bill review, every dollar counts. Did you know, medical costs typically amount to 60% of claim dollars paid? We provide a hands-on approach to medical bill review that maximizes savings at no additional cost. There are no upfront pharmacy charges.

Plus, we offer lower costs based on our PPO networks and negotiated medical bills. All this translates into timely payments to medical service providers along with compliance with state regulations.

Ways Medical Bill Review Benefits Employers

  • Managed care without the managed care costs
  • Timely payments to medical service providers
  • State regulation compliance
  • Hands-on approach maximizes savings at no additional cost

Eliminating Overpayments Creates Savings

How We Do It

  • Evaluate diagnosis related to medical records
  • Examine medical records for accurate bill coding and review code modifiers
  • Maintain accurate billing practices and state regulatory updates through consistent staff training
  • Monitor for duplicate billings

Medical Bill Review

Claims Management Simplified

Whatever the situation, if an employee is injured at work, you want to make sure your business has a process in place to streamline workers’ compensation claims. This is why, as a policyholder, you’ll want to take advantage of the services of FFVA Mutual’s reliable team of experienced claims adjusters to help guide you through the process.

What is claims management?

Claims management includes advice or services relating to claims for compensation, restitution, repayment, or any other remedy for loss or damage, or in respect of some other obligation.

Our claims management services help make things easier for your business by offering a comprehensive overview of the workers’ comp process. We work on behalf of our policyholders, diligently processing various kinds of claims and providing guidance on the return to work process to help transition employees back to work quickly and safely.

What FFVA Mutual Can Do For You

Workers’ Compensation Insurance

Costs related to workers’ compensation claims can swiftly make a substantial impact to your bottom line if not managed timely. FFVA Mutual helps employers implement industry leading best practices to avoid claim costs from increasing unnecessarily.

Our workers’ comp claims solutions allow policyholders to effectively manage their risk management programs with safety services and workplace training designed intended to meet OSHA requirements. A unique account service team approach, dedicated claims adjusters, and innovative solutions allow us to reduce the loss costs generally associated with workers’ comp claims management.

Trusted Claims Services

Experienced Solutionists

Many of our claims employees have decades of experience in workers’ compensation claim management. Every professional has a recognized history of accomplishing exceptional results driven by claims management strategies. From the onset of the task through to its completion, we provide a high level of service.

In-House Claim Adjusters

Having an in-house claims team means our staff has easy access to information from underwriters and safety consultants that can be quickly shared with agents and employers. We individually assign a designed claims adjuster for each employer.

Every policyholder and employee injury type is unique and manage the claims process differently from other workers’ comp insurance carriers. Your dedicated claims adjuster will help you coordinate medical treatments, manage claims to decrease costs, and help with return to work transitions. We are confident that our integrated approach will deliver better overall results for your business and lower claim costs.

Effective & Efficient Claim Solutions

The need for augmented claims efficiency, including faster claim closure rates and reduced expenses, in addition to the continuous development of technology, has compelled businesses to begin implementing online claims management.

Along with traditional adjusting, we also provide an accelerated claims management process in conjunction with online services using a streamlined claims management process flow.

Injuries that initially appear minor can increase your claim costs if not handled promptly. FFVA Mutual encourages employers to report work-related injuries within 24 hours. Timely claim reporting can help you keep medical costs down while resulting in quicker claims closure. With efficient and quick employer claims management, you can quickly identify potential fraudulent claims. Moreover, you can avoid penalty costs once you comply with state statutes.

Return to Work Assistance

With a solid return to work assistance program, you can decrease your medical, legal, and disability claim costs. FFVA Mutual partners with employers to create and implement a personalized Return to Work program. As a result, you’ll be able to transition an injured employee back to work as soon as possible.

An effective return to work program increases employee morale and productivity, reduces time expenses resulting from lost productivity and keeps your employees motivated to return to work quickly and safely.

Get Started

FFVA Mutual Insurance Co. provides client-focused, scalable workers’ compensation insurance to satisfy the needs of employers from nearly every industry. From serious accidents to common workplace injuries, we have the workforce, skill, and aptitude to tailor our services for each and every claim.

Every adjuster goes through an extensive screening and selection process to make sure they have the proficiency to provide quality claims management on every claim. This empowers our adjusters to be prolific while epitomizing the highest level of reliability, quality, and customer service in the industry.

Decades of experience in this field allows us to navigate the complicated world of the claims and insurance industry so that you don’t have to. Are you looking for workers’ comp coverage? Contact us today to get a quote and learn more about our claims management services.