Problem: Work comp eligibility systems do not exist.
Solution: At registration, UHS verifies work comp coverage with employers and carriers and obtains all claim related information including bill-to and applicable fee schedule. Additionally, UHS handles all communications with adjusters and case managers to obtain treatment authorizations where necessary.
Problem: Billing is paper based. Attachments are required for processing.
Solution: All work comp charges are eBilled through clearinghouses to UHS. UHS imports attachments from the provider's EMR. UHS generates and distributes invoices to carriers for payment.
Problem: High levels of time and effort to resolve these claims. High re-work rates.
Solution: UHS performs all collection work and manages underpayments, payment denials, reimbursement appeals and reconsiderations.
Problem: Work comp fee schedules are not stored in billing systems, so underpayments are not easily identified and cash posting is manual.
Solution: UHS stores fee schedules for all states and federal programs so underpayments are easily identified and worked. UHS automates the cash posting process by providing 835 ERA files.