Bill Review

PBR Services is the Medical Bill Review division of PACBLU.

PBR understands the significant cost that medical treatment can present when individuals are seeking the best care possible. By providing a comprehensive range of services encompassing all areas of medical bill review, we help ensure that ill or injured workers get the care they need in the most cost-effective way. Our Medical Bill Review Analysts combine their extensive experience with our state-of-the-art bill review software package to deliver the best results.

In 2011, PBR clients nationally benefited from average net savings in excess of 40%, and a return on investment of 23.5 to 1.

We deliver savings and superior service to our clients. The key elements of our bill review program include:

  • Fee schedule analysis and level of service review
  • Application of reductions from our PPO network
  • An extensive PPO network mosaic which includes Three Rivers, First Health, Beech Street, IHP, CorVel and others
  • Relationships with providers and negotiated discounts
  • Specialist surgical, hospital and pharmacy bill review
  • Our proprietary usual and customary charges database
  • Local knowledge and presence in the areas we service
  • Document imaging and management
  • Check writing and loss fund account management

PBR has also invested in a state-of-the-art technology solution to support our Medical Bill Review Analysts and our customers. The benefits of our system include:

  • Automation of processes to increase efficiency and accuracy
  • Ability for any user to connect with only a web browser, avoiding expensive proprietary IT management
  • Online portal enabling access to the status of bills and other information in real time
  • Online modules providing up-to-date reporting that can be customized and scheduled
  • Optional integration with OCR (Optical Character Recognition) and document management systems for electronic storage and easy retrieval of medical bills
  • Ability to receive bills electronically, directly from providers
  • A configurable rules system allowing customization for each client’s special processing requests