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MEDICAL BILL REPRICING SYSTEMS

 


RES Medicare Pricer System

 

Pennsylvania Workers' Compensation & Auto Insurance

Medical Bill Repricing System

Systems Features:

  • Reprices Inpatient, Outpatient, Medical, & Pharmacy bills.

  • Reprices all Auto Insurance bills according to ACT 6 rules and regulations.

  • Reprices all Workers’ Compensation according to ACT 44 rules and regulations.

  • Runs on a Stand-Alone Microcomputer or Local Area Network.

  • User friendly.

  • Informative/Custom made EOBs.

  • Bill Review edits.

  • Patient History.

  • Management Reports.

  • Reason code table allowing the user to create payment/denial codes.

  • PPO Network available.

  • Most accurate and complete Provider Table in the industry.

        Currently installed in over fifty-five (55) sites. 

 

 


RES NY/NJ Pricer System

 

New York & New Jersey Workers' Compensation & Auto Insurance

Medical Bill Repricing System

Systems Features: 

  • Reprices all New York Inpatient, Outpatient and Medical bills.
  • Reprices all New Jersey Inpatient, Outpatient and Medical bills.
  • For New Jersey Work Comp, need to license the Ingenix Medicode UCR Tables.
  • Runs on a Stand-Alone Microcomputer or Local Area Network.
  • User friendly.
  • Informative/Custom made EOBs.
  • Bill Review edits.
  • Patient History.
  • Management Reports.
  • Reason code table allowing the user to create payment/denial codes.

  • Most accurate and complete Provider Table in the industry.

        Currently installed in over ten (10) sites.

 


RES Maryland Pricer System

 

Maryland Workers' Compensation & Auto Insurance

Medical Bill Repricing System

Systems Features: 

  • Reprices all Inpatient, Outpatient and Medical bills.
  • Runs on a Stand-Alone Microcomputer or Local Area Network.
  • User friendly.
  • Informative/Custom made EOBs.
  • Bill Review edits.
  • Patient History.
  • Management Reports.
  • Reason code table allowing the user to create payment/denial codes.

             


 

RES SERVICES

 


Medical Bill Repricing Services

Services Provided:

  • We provide repricing services for companies that do not wish to utilize our
    Medical Bill Repricing Systems.

  • This is a process where companies send their medical bills to our office to
    be repriced with one of the above Medical Bill Repricing Systems.

  • After the repricing services are completed, we send to the client an EOB
    for each claim and a monthly report indicating savings and costs. 

    


Consulting

 

Services Provided:

 

  • We provide to software vendors in the Pennsylvania and New York
    Workers’ Compensation and Auto Insurance industry, the algorithms and
    financial tables from our systems to help build a Medical Bill Repricing Module. 

 

 


 

OTHER SYSTEMS

 


RES Office Manager System

 

Physician and DME Company Claims Processing System

 

Systems Features:

 

  • Patient General History.
  • Patient Services History.
  • Electronically bills Medicare.
  • Print claims on HCFA 1500 form.
  • Management Reports.
  • Runs on a Stand-Alone Microcomputer or Local Area Network.
  • User friendly system.