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Claims Investigations | Medical Bill Review

Where Medical Bill Review Meets Investigations

For many carriers, medical bill review and claims investigations operate in separate corners of the claims lifecycle. Bill review teams focus on cost containment, including auditing invoices, applying fee schedules, and flagging duplicates. Investigators hunt for intent, such as patterns, questionable behavior, and signs of organized fraud. However, when these… Read More

Oct. 29, 2025 • 4 min. read

Claims Investigations

Where Medical Bill Review Meets Investigations

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