Mitchell launches claims analysis tool
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Mitchell International Inc. has launched a tool that allows workers compensation and auto casualty claims organizations analyze medical provider treatment and billing behaviors to identify activities that may be connected to fraud, waste or abuse, the insurance software firm announced Wednesday.
The provider data explorer tool visually depicts claims data to compare medical provider behaviors, as well as peer-to-peer comparisons to identify outlier claims, according to San Diego-based Mitchell.
The tool also tracks metrics related to provider behavior, including treatment duration and frequency, billing and adjustment tendencies and procedure code accuracy.
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