For Workers Compensation and Auto payers who want the ultimate in control of their re-pricing process, Dr Bill MedExchange offers unprecedented capabilities. 

It's an electronic exchange, and its only business is medical bill management and delivery.  It uses the information on the bill, and the rules you set, to manage its delivery to the right vendors in the right sequence. 

MedExchange lets you treat every re-pricing function as granularly as you wish.  You can use it to go to internal systems or queues, or outside vendors, for every re-pricing function and analytics.  If you like, you can treat medical edits, state fee schedule, UCR, and standard review items just the same as you treat networks, negotiators and specialty review firms.  With MedExchange, you can expand your re-pricing process to include multiple vendors in each jurisdiction, each for different bill types, sizes, situations, or simply because no other vendor took an action.

Read more about Dr Bill MedExchange here.

Successful cost containment in Workers Compensation and Auto is based on achieving a few key results:

• The best medical savings possible at any given time, without surrendering patient outcomes, provider relations, and market reputation;
• Defensible savings; and re-pricing partners willing and able to deflect liability resulting from their work;
• The lowest cost and complexity possible for achieving the goals above.

To achieve these goals, you need the ability to:

There are three "intercept zones" from which Dr Bill Exchange can receive and subsequently return bills.  Each of these corresponds roughly to a different strategic use of the Exchange.  You can use more than one intercept zone at a time (it is being done now).  And it is quite easy to migrate from one zone to another, typically moving from "later" zones to an "earlier" one.

The Early Cycle zone supports the most aggressive use of the Exchange.  It picks up bills from or shortly after data entry, and uses the Exchange's powerful bill management tools to route and deliver bills to all re-pricing, analytics, and other destinations.  This means you control the bill through its entire life cycle, and can use different vendors, including bill review vendors, based on jurisdictions, or other criteria.  You can build a process as complex as you like, even for different clients.  And most importantly, you can change it quickly and easily with no impact to internal systems, to respond to legislative or market conditions.

MedSelect is a program supporting full or starter cost containment solutions for payers.  These solutions bundle pre-packaged services from multiple selected re-pricing vendors built on top of the MedExchange platform.  They are targeted toward Workers Compensation and/or Auto payers that want the flexibility, open market approach, and growth capabilities of Dr Bill Exchange, but prefer to reduce their own resource requirements for setup and maintenance of the total vendor strategy and management.  

Because these offerings are built on Dr Bill Exchange, customers can enjoy the best of both worlds -- a very strong select vendor lineup, with the ability to customize at any time.  As a result, it will be very difficult for most payers to outgrow MedSelect.  If they do, they can simply move to Dr Bill MedExchange at their convenience, taking over the vendor management responsibilities over time.

MedSelect solutions allow any payer to have a full and powerful re-pricing program very quickly with no strings attached.

Learn more about Dr Bill MedSelect here.