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Service 04

Claims scrutiny

Final invoice, discharge summary and itemised laboratory and pharmacy breakdowns checked line by line against policy terms.

Every line on the invoice is matched to something that happened, and to something the policy covers.

What happens

Three moves.

Always in this order, on every case, regardless of size or hour.

Final file collected

Itemised invoice, discharge summary, laboratory and pharmacy breakdowns.

Checked line by line

Each line matched to treatment that happened and to terms the policy actually covers.

Queries closed

Raised with the hospital and resolved before settlement, never with the patient.

What you get
  • Every line matched to treatment and to policy terms
  • Queries handled between professionals, away from the bedside
  • A claim your own auditors can follow
What we need
  • An itemised final invoice
  • The discharge summary
  • Laboratory, pharmacy and procedure breakdowns
Next step

Walk a case through with us.

The quickest way to see whether this fits is to take one real scenario and run it end to end.