At EK Health, we have combined our expertise in bill review with technology that brings to our clients and automated process achieving savings unmatched by our peers. Like every aspect of EK Health, we have applied our 360° Approach to our medical bill management process.
By evaluating every aspect of the process and searching for ways to demystify traditional bill review, our team has crafted a process workflow and technological systems design that promotes efficiency, captures savings and generates results. With appreciation for ensuring quality, appropriate medical care while aggressively managing our clients’ costs, we at EK Health are committed to Transforming Managed Care through medical bill management. We don’t stop with traditional bill review; we manage the entire process.
|Services offered include:
- Bill Repricing
- State Reporting
- Nurse Specialty Review
- Negotiation Services
- Network Optimization
- Professional Services
|WHAT SETS US APART
- Leverage the ideal balance of technology and human intelligence to optimize efficiency and impact
- Employ focused strategies to achieve maximum savings below Fee Schedule and Usual & Customary rates
- Operate with an aggressive negotiations strategy, providing additional savings opportunities. • Reduce the number of duplicate submissions, promoting efficiency and accuracy
- Enforce utilization review determinations within the bill review process, limiting leakage between the two services
- Construct strategic provider management objectives through continual development of direct agreements
- Automate application of client-customized network discounts and direct agreement rates
- Generate superior outcomes with a tailored program
- Intelligent trigger-based routing for near real-time bill processing as the rule, batch processing as the exception
- Real time access; real time status; real time fixes - all before a bill is finalized
- Sophisticated pended-bills load balancing to optimize workforce productivity
- User-friendly, customizable client portal allows external users access to view bills for approval/denials within the bill’s life-cycle
- Highly configurable and flexible system requiring minimal code changes to introduce new features, adapt to future requirements and onboard new clients
- Create limitless unique bill routing workflows, automate agreements, and manage client-specific network structures
- BilltelligentTM partners with EK’s proprietary tools to optimize outcomes (UR++® and Enforcer®)
LEARN MORE about Billtelligent, the revolutionary proprietary technology that powers our Medical Bill Management solution.
"I provided a mini review of the bill review process with my staff after the dial in meeting with our Director of Integrated Disability Management. I received exceptionally positive comments in regard to EK Health's Bill Review Manager from a number of my Examiners. They reported that she was exceptionally responsive in regard to the issues that they asked her to address. I was pleasantly surprised by the response and wanted to let you know."
-Claims Supervisor, a Fortune 500 Company
"I wanted to let you know that our staff thinks very highly of the customer service you provide when responding to their inquiries and requests for assistance. Thank you for your help and support."
-Risk Manager/Claims Manager, a Fortune 500 Company
"I appreciate EK Health's reports. I used to receive reviews from other bill review companies. I have not received a comprehensive and detailed report in addition to the review itself like EK Health's. Great job!"
-Hearing Representative, a Fortune 500 Company
"We really appreciate the response time and insight you have provided to us. We have definitely obtained an improvement in our customer service during our change from the previous vendor."
-WC Claims Manager, a Fortune 500 Company