Medically managed bill review is a cost control mechanism employed by Bunch CareSolutions to maximize savings for employers. Using a team of nurses to perform specialized bill review ensures that all treatments billed are medically necessary and related to the compensable claim. As part of the nurse review process, the system uses sophisticated rules to identify medical bills that qualify for specialty nurse review.

We allow our clients to define the dollar threshold for bills routed to a nurse auditor for review. The nurse reviewer determines the appropriateness of the treatment and ensures the treatment documentation matches the bill.