Covenant Specialty

Covenant Specialty is an industry leader in medical bill review and PPO network analytics for auto liability, group health and workers’ compensation. These services are delivered through our website and via our Internet repricing engine, RepriceNSeconds.

RepriceNSeconds is our proprietary rules engine which can be configured by line of business, state and client requirements. Covenant Specialty ensures accurate and consistent bill review to maximize savings for our clients.

BILL REVIEW AND PPO SERVICES

Coding review and unbundling

Usual and customary review

Fee schedule analysis

Out-of-network bill review

Pharmacy review

National primary and secondary PPO network analytics and management

Repricing

Reporting

VALUE ADDED FEATURES

Artificial intelligence rules engine, RepriceNSeconds

Enhanced EDI and web-service interfaces

Online bill entry, review and management portal

Internet based reporting tools

SERVICE

Multiple quality control checks

Expedited turnaround timelines

Proactive, Professional Provider and Payor Relations Unit