Medical Bill Review
With Medlogix, you gain a strategic partner dedicated to optimizing your claims process and unlocking value across your program.
Medical Bill Auditing
Medlogix’s team of highly credentialed Nurse Auditors perform extensive reviews of Provider and Facility bills to ensure all billed services are causally-related to the claim.
Code Review
Medlogix offers CPT Code Review services to ensure provider billings are not unbundled, fragmented, up-coded, unrelated or improperly coded.
PPO Networks
CHN PPO is a leading preferred provider organization based in northeastern United States with a premier, fully credentialed network of over 228,000 health care providers.
Bill Negotiations
Our skilled Negotiators reduce out-of-network medical expenses through expert negotiations, delivering significant cost savings for clients.
Independent Medical Exams
Our approach to cost management extends beyond the price per IME.
Peer Review
Medlogix utilizes credentialed specialists who are board certified in the same specialty as the requested medical review.
NJ Pre-Certification
Medlogix provides a prospective review of diagnostic tests, durable medical equipment, medical treatment and medical procedures.
Medical Director Review
For cases that require a physician review to determine medical necessity, Medlogix provides professional guidance regarding appropriate treatment.
Field Case Management
For complex or catastrophic cases, or treatment that is not progressing as expected
Lifetime Cost Projections
Medlogix’s Medical Management professionals perform an extensive file review to deliver a detailed Cost Projection Analysis that adjusters use as a tool to establish proper file reserves.
Utilization Review
Utilization Review (UR) focuses on aligning patient care with clinical guidelines, cost control, and quality standards.
Michigan UR
Medlogix’s specialized Michigan UR program addresses the state's auto no-fault insurance and Personal Injury Protection (PIP) regulations.
Third Party Professional Reviews
Instead of managing multiple vendors, insurance carriers gain a single strategic partner dedicated to helping them accurately evaluate claims, control costs and improve operational efficiency.
Litigation & Appeals Support
The Arbitration, Litigation, and Appeals team consists of dedicated appeal analysts, coordinators, and leadership handling provider payment appeals, arbitration support, and litigation documentation.
Medical Bill Review
Seamless, paperless, web-based platform where all processes flow through one integrated system.
Medical Bill Auditing
For bills where compensability, medical necessity or excessive charges are in question.
Code Review
Ensure provider billings are coded properly according to national and regional billing practices.
PPO Networks
National access to in-network providers who are highly skilled in diagnosing and treating auto injuries.
Bill Negotiations
Reduce the cost of out of network providers both on a prospective and retrospective basis.
Independent Medical Exams
Medlogix provides IMEs through our nationwide network of highly credentialed, multi-specialty physicians.
Peer Review
Independent, objective assessment to determine the medical necessity of treatment.
NJ Pre-Certification
Prospective review supports auto carriers in maintaining NJ-AICRA compliance.
Medical Director Review
Highly-credentialed medical directors provide professional guidance for worksite injury treatments.
Nurse Case Management
Telephonic and Field Case Management ensure appropriate, quality healthcare services are delivered in a cost-effective manner.
Lifetime Cost Projections
Comprehensive evaluation of treatment needs and expected medical costs for claimant’s treatment plan.
Utilization Review
Utilization Review focuses on aligning patient care with clinical guidelines, cost control, and quality.
Third Party Professional Reviews
To more effectively negotiate settlements with defensible supporting documentation.
Litigation & Appeals Support
Disputes resolved without disrupting adjuster workflows or claim momentum.
Our Customizable, Integrated All-In-One Platform Lowers Auto Medical Claims Costs
Stop struggling with outdated data, regulatory issues, and lack of flexibility for Auto Medical Claims management
Our MyMedlogix platform delivers an integrated, customizable, all-in-one solution that simplifies auto liability and PIP claims handling while cutting costs, boosting efficiency, and ensuring compliance state regulations nationwide.
You can choose the auto medical claim services you need and avoid the unnecessary costs of an “all or nothing” package.
Our MyMedlogix software integrates with existing claims systems and workflows, which reduces delays and improves turnaround time.
- Real-time analytics for PIP claims
- Utilization tracking
- Cost-savings identification
- Drill-down into procedure-level data, provider performance, and return-to-health timelines
- Seamless EOB delivery, streamlined appeals, and ROI reporting tied to PIP case performance
"A lot of customization goes into our services to support our customer's unique workflow and drive internal efficiency. We adapt to provide the level of service they need to achieve their goals and objectives.” Chad Gross, COO
"Previously we spent a lot on ancillary specialist adjusters, nurses, etc. Medlogix platform fills those gaps, and can be customized for specifics of our needs." Client Survey Response