Prizm has provided medical management and medical bill review services to the auto, property and casualty markets. Our technology and services provide our clients with an accurate, detailed, and defendable tool to improve outcomes and protect reserves.
Nationwide 1st Party Bill Review-Utilizing our comprehensive claims web base management program, Nextrum, bills are keyed and run through our claims system.
Demand Package Review Program-This is an in depth audit of the paid and unpaid medicals of a demand package. We provide a framework, where adjusters can send us the medical specials and we will review for accuracy. The charges can be reviewed and audited based on PIP Fee Schedule, Usual & Customary, and Medicare.
New Jersey AICRA (PIP Program) –Prizm has a certified Decision Point Review (DPR) filed with the New Jersey Department of Insurance & Banking. Since 2001, we have been providing a robust medical program to Auto Carriers within the state of New Jersey. Our in house staff of trained professionals and nurses ensure compliance with care plans and an extensive PAR panel to review ongoing care.
New York PIP Arbitration Support-Prizm can provide a PIP department’s arbitration assistance. We provide a certificate of conformity to comply with New York Regulations. Our Certified Professional Coders (CPC) can evaluate the medical bill and records based on New York Fee Schedule. Our experts are available for litigation purposes.
SIU Validation Services-SIU teams that are performing enhanced medical investigations, can rely on Prizm to assist in validating their internal results. Our experts are available for litigation purposes.
Company Details
- Employees
- 47
- Founded
- -
- Address
- 523 Fellowship Road,
- Phone
- (856)596-5600
- Industry
- Insurance
- NAICS
-
Insurance Carriers and Related ActivitiesAgencies, Brokerages, and Other Insurance Related Activities
- Website
- prizmllc.com
- Keywords
- 50 State Bill Review, Demand Package Audit, New Jersey AICRA, New York PIP Arbitration, No Fault, Med Pay, 1st Party Auto, 3rd Party Liability, SIU, Litigation Management, PAR Panel, Fee Schedule, Florida Deductible Application, New York NF 10, New York PIP Delay Letter, Future Care Cost Projection, Medicare, Expert Testimony, Certified Professional Coder, CPC.
- HQ
- Mt Laurel, New Jersey
Prizm, Medical Bill Review Specialist Questions
Prizm, Medical Bill Review Specialist's helpline number is (856)596-5600
Prizm, Medical Bill Review Specialist's website is prizmllc.com
Prizm, Medical Bill Review Specialist's LinkedIn profile is https://www.linkedin.com/company/premier-prizm-solutions
Prizm, Medical Bill Review Specialist has
47 employees.
View email and phone details for 47
employees at Prizm, Medical Bill Review Specialist.
Prizm, Medical Bill Review Specialist's industry is
Insurance
Prizm, Medical Bill Review Specialist's top competitors are
Skincare Mt,
Ipr Secure,
Medical Bill Review Solutions (Mbrs),
Prism Insurance Group,
Med-Sherpa, Inc.,
Mailpound,
Manageability Ime,
Patient Guards Medical Bill Review,
Centralcomp,
Medical Coding Vacancies.
Prizm, Medical Bill Review Specialist's categories are Insurance
Prizm, Medical Bill Review Specialist's founding year is 2001
