Bodily Injury Claims Management

Medical Invoice Check

Are the costs justified and related to the accident? Are they billed correctly according to DRG? We answer these questions and more as part of our medical invoice check.

Medical expertise taking centre stage

When it comes to medical invoices, a comprehensive review is useful in order to determine which costs are justified and must be covered by the insurers. The billing of medical service providers is complex and prone to errors. An audit of medical treatment invoices and care expenses therefore requires both in-depth medical and nursing expertise.

Rely on experts for a professional and thorough invoice check

With the medical invoice check, we enable an objective assessment of risks and potential reductions in claims and benefits settlement – as your medical back office.

Objective Assessments

Our assessment is based on sound specialist knowledge as well as current fee schedules, guidelines, legislation and therapy standards.

8-14% sustainable cuts

Reduced claims expenditure and process efficiency mean you save twice. The audit report will show you a recommendation as a basis for further settlement, e.g. in recourse.

Settlement support through specialists

Our team of (specialist) doctors, nursing experts, medical billing experts, coding experts and more ensures that every invoice is checked with the necessary medical expertise.

How are medical invoices checked?

Medical necessity with regard to the consequences of the accident
Correctness of invoicing (e.g. DRG, GOÄ and GOZ)

Additionally in SVT recourse:

Causality
Plausibility

Objective assessment through:

(Specialist) doctors
Nursing experts / nursing staff
Medical billing experts
Coding experts
Dental experts
Physiotherapists
and more

Where we support you in medical invoice check

Motor liability insurance
General liability insurance
Hospital and medical liability insurance
Private accident insurance
Life insurance/occupational disability insurance
Long-term care insurance
Private health insurance

The auditors' expertise guarantees a well-founded evaluation of the claims with regard to the treatment of accident injuries, the guidelines applicable at the time of the accident and the correct application of coding guidelines. The cooperation brings us sustainable savings of around ten percent of the original claims.

Marco Becker

DEVK Versicherungen

Head of Department Sach/HUK-Schaden

With the invoice check, we were able to achieve considerable cost savings after just a short time. We mainly use Verisk for moderate and complex bodily injury claims and have worked closely with the competent team to create a process that takes our individual claims settlement requirements into account. Particularly in the case of serious bodily injury claims with long or complex healing processes, the medical advice has become indispensable for the correct assessment.