the dawn of a new day in medical bill cost containment

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The Exchanges

The Dr Bill Exchanges are the natural solutions to medical bill routing and delivery -- the ones that should have been the next development after the discovery that constraints of direct point-ot-point solutions were severe and geometric. Using similar technology, they improve bill processing in the Workers Compensation, Health, and Auto markets.

CompExchange

Dr Bill CompExchange is the original Dr Bill Exchange, with access to millions of WC bills, a growing name-brand customer list, a robust implementation and a record of service and responsiveness. It is also the only viable open market solution to bill re-pricing, with a strong and growing roster of network, specialty, negotiation and bill review vendors.

Read more about the Dr Bill CompExchange.

HealthExchange

Dr Bill HealthExchange is our latest implementation, and will start trading bills in the near future. The HealthExchange has all the flexibility of family and but built to handle the volume and data needs of its market. It can be used on the front end for integration of clearinghouses, to the back end for out-of-network bills, and anything in between.

Read more about the Dr Bill HealthExchange.

AutoExchange

Dr Bill AutoExchange will be our next implementation. The AutoExchange extends the functionality of CompExchange with additional workflows and features that significantly reduce process expense for Auto. In the meantime, and for customers not desiring such extensions, auto bills are supported on the CompExchange.

Read more about the Dr Bill AutoExchange.

CompSelect

Dr Bill CompSelect is a program supporting pre-packaged cost containment solutions. These combine the platform of CompExchange with a starter set of selected vendors to offer a complete re-pricing program. Now any payer can gain a powerful and extensible solution quickly and with little investment.

Welcome to the Dr Bill Exchanges

Welcome to the next generation of medical bill processing. Dr Bill is an electronic exchange for medical bill claims payers and their cost containment partners. It supports business between carriers, TPAs, self-insureds, bill review firms, and other bill processors; and providers of PPO, fee schedule / UCR, pharmacy, ASC, DME, UR, negotiated, and other medical discounts.

If you’re a claims payer with medical bills that need service, including any and all re-pricing services, you are about to enter a new world of unprecedented flexibility and control in which:

you fully control your bills and your business relationships;
you can conduct business with any vendor in any jurisdiction for any set of bills easily and without penalty;
your technology costs for implementation, maintenance and operations is demonstrably lower – and the need for complexity in planning, funding, and implementing those projects are eliminated;
you will have better control over your bills than you’ve ever had before.

Find more detail for specific types of Payers in the Perspectives menu in the right column.

If you’re a vendor supplying those payers with re-pricing, analytics, or any other services that use medical bills, you are about to enter a new world where:

An Open Market Alternative

The Dr Bill Exchanges present payers and vendors with the only viable open market alternative to medical bill re-pricing. In some markets, it has become the only viable vehicle to build a national program without defaulting to the usurious business model of an oligopoly.

Today, in each line of business, the bill re-pricing market is a choice between two poor alternatives: point-to-point connections and complex and constantly-changing software to manage the bills; or the convenience of a proprietary one-stop-shopping solution that has been constructed to maximize the vendor's revenue and control. In neither case can an open market principle apply: in the first case, the technology constraints limit the number of vendors a given payer can manage. In the second, the vast majority of vendors are off-limits to the payer, and the price is high.

Dr Bill CompExchange

Dr Bill CompExchange is the original Dr Bill exchange, and currently has access to more than 6 million payer bills. Those bills are serviced by a roster of vendors that includes household names. While important in all markets, the flexibility and control that Dr Bill affords Payers, and the level playing field it provides Vendors, is even more critical in WC cost containment. Today, both payers and vendors in this market are running out of options. And the remaining choices operate in business models that are far from the open market, neutral third-party approach of CompExchange.

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Something New

Several new articles and reprints are coming up. The first is an excerpt from the Summer Edition of the Maddy Bowling Consulting Newsletter. It can be found under 'Company News' in the About Us category. Or just follow this link: Maddy Bowling Newsletter Excerpt.

Random Note

Payer Benefit: Payer Flexibility

Dr Bill makes it easy for payers to assemble and operate a best-of-breed national re-pricing program. And change it quickly and easily as legislation and landscape changes. Don't get trapped into in one-size-fits-all, limited (and/or captive) partners. Dr Bill is the only realistic open market, neutral third party solution available in medical bill re-pricing.

the dawn of a new day in medical bill cost containment

The Exchanges

The Exchanges

CompExchange

HealthExchange

AutoExchange

CompSelect

Thanks For Visiting

Something New

Random Note

Industry Headlines

Perspectives

Key Reading