Mitchell Enhances Bill Review Offering with Qmedtrix Technology

The solution aims to deliver a new layer of value for workers’ compensation carriers, third party administrators and self-insured employers.

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Mitchell International (San Diego) has capitalized on its Oct. 2016 acquisition of Qmedtrix to bring its bill review offering to a new level. The vendor of technology, connectivity and information solutions to the property/casualty industry, has integrated Qmedtrix’s product platform with its specialty bill review and provider negotiation systems that make up the vendor’s SmartPrice Solutions: FairPay Specialty Bill Review and Mitchell Negotiations.

Michael Parker, Product leader, SmartPrice Solutions, Mitchell.

Michael Parker, Product leader, SmartPrice Solutions, Mitchell.

“The integration of these three proven platforms, combined with Mitchell’s expert ability to optimize cost containment workflows on a state-by-state basis, helps deliver a new layer of value for workers’ compensation carriers, third party administrators and self-insured employers,” said Michael Parker, the new product leader for SmartPrice Solutions. “With the advanced capabilities and potential for savings we can offer, Mitchell’s SmartPrice Solutions now go above and beyond traditional specialty bill review capabilities.”

The integrated technology delivers additional value on a state-by-state basis by going beyond traditional specialty bill review capabilities, a Mitchell statement says. Using analytics methodologies, Mitchell’s system now can provide added services in usual and customary states that offer a wider breadth of savings on professional and facility bills, the vendor asserts. In addition, the integration has also created unprecedented opportunities for savings in fee schedule jurisdictions.

Nina L. Smith, Executive VP and General Manager, Casualty Solutions Group, Mitchell.

Nina L. Smith, Executive VP and General Manager, Casualty Solutions Group, Mitchell.

As fee guidelines and statutes become more complex, customers need evolving technological solutions that analyze provider billings on a deeper level to make informed decisions, pay providers a fair and reasonable amount for the services rendered, and obtain realized savings, Mitchell’s Parker adds. “The advanced software utilized by Mitchell is allowing our customers to access more than just a bill review platform, but actual claim and bill analysis focused on a variety of reimbursement measures,” he says. “Mitchell’s SmartPrice Solutions product is capable of analyzing provider data to determine correct claim adjudication, costs of procedures, payment and charge information.”

Additional Data and Expertise

“The new solution adds additional data and expertise to our already-robust workers’ compensation solution offering,” comments Nina L. Smith, Executive VP and General Manager, Casualty Solutions Group, Mitchell. “Mitchell’s customers are now even more prepared to manage rising medical costs and regulatory changes and achieve improved business outcomes.”

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Anthony R. O’Donnell // Anthony O'Donnell is Executive Editor of Insurance Innovation Reporter. For over a decade he has been an observer and commentator on the use of information technology in the insurance industry, following industry trends and writing about the use of IT across all sectors of the insurance industry. He can be reached at AnthODonnell@IIReporter.com or (503) 936-2803.

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