How Optum medical cost savings solutions bring value
- Medical bill review that adaptively integrates with existing systems and maximizes savings
- CCL that delivers 8% average additional savings below fee schedule and usual, customary and reasonable (UCR) application with detailed explanation of review (EOR) for providers
Customized reporting, audit transparency and more
Medical bill review
- Customized adjuster auto-adjudication
- Customized bill review rules and negotiations
- Customized electronic data interchange (EDI) and reporting
- E-bill or paper bill intake
- Fee schedule/UCR application
- Mailroom processing
Clinical & Coding Logic
- Audit transparency and defensibility
- Highly qualified clinical and coding reviewers
- Improper line-level charge identification
- Second-pass audit precision
- State-specific coding edits
Other auto no-fault solutions we offer
Pharmacy solutions
Our auto pharmacy solution gives you deep discounts, broad access and tailored clinical support to ensure efficient, high-quality care for your claimants.
Ancillary services
Our ancillary services deliver caring support and efficient solutions, ensuring claimants get what they need while helping you control costs.
PPO networks
Our PPO combines the Procura™ network and trusted affiliate partners to deliver nationwide, state-tailored care that helps control costs and improve outcomes for claimants.