Critical Eye

Maximizing Your Cost Savings

Critical Eye offers a full suite of cost savings services which provide proven solutions for significantly reducing the escalating cost of medical bills. These services include:

·       Bill Auditing

o   Client directed thresholds and/or type of claim to be audited

o   Audit findings fully disclosed to provider PRIOR to claims adjudication

o   Client only charged for realized savings

·       Claims Editing

o   Source Editing

o   Date Appropriate Rules

o   Historical Edits

o   Customizable Edits

·       Medical Management

o   Utilization Review

o   Case Management

o   OMNI Health Record

o   Chronic Care Management

o   Wellness Programs