Guardian offers leading bill review solutions for payors.

We apply thousands of clinical edits and audit functions that maximize savings for our clients.

Guardian offers leading bill review solutions for payors.
Features
  • Extensive coding review and repricing
  • Automatic fee schedule and state law adjustments
  • Usual & customary review
  • Mosaic best in class provider discount application
  • Customizable utilization review parameters
  • Robust duplicate bill detection
  • Online portal for reports access
Benefits
  • Fast turnaround time
  • Prompt payment
  • Provider satisfaction
  • Maximize savings on every bill
  • Decrease in duplicate billings
  • Increase efficiencies
  • Streamline data to identify cost trends
Medical Bill Review

Maximize savings with advanced technologies and industry expertise.

Medical Bill Review
Preferred Provider Networks

We ensure access to extensive care options through a wide network of preferred providers.

Preferred Provider Networks
Out-of-Network Bill Review

We quickly and efficiently analyze and review out-of-network bills to identify potential cost savings.

Out-of-Network Bill Review
Utilization Review

We monitor and assess healthcare services across our networks for medical necessity and cost effectiveness.

Utilization Review
Pharmacy Benefit Management Program

We help your injured employees easily obtain prescriptions and supplies while avoiding out-of-pocket expenses.

Pharmacy Benefit Management Program
Durable Medical Equipment

Our durable medical equipment (DME) program helps your injured employees recover at home with the vital equipment they need.

Durable Medical Equipment
Let's Get Started

Contact us to learn more about Guardian’s tailored services and solutions.




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