National Auto Program

A new study by the Insurance Research Council (IRC) estimates that claim fraud and buildup added between $4.8 billion and $6.8 billion in excess payments to auto insurance claims payment in 2007.

 The most common type of claim abuse was due to buildup, defined as the inflation of an otherwise legitimate claim, such as through unnecessary medical treatments or diagnostic procedures.

 BMEGateway has developed auto insurance medical claim programs to assist its clients with solving both the clear-cut medical fraud and treatment buildup issues.

  IME & Peer Review Services

Ø      Independent Medical Evaluations

Ø      Peer/Medical Record Reviews

Ø      Radiological/Film Reviews

Ø      Impact First party reviews

  Managed Care Services

Ø      Utilization Management

Ø      Pharmaceutical Diagnostic Analysis

  Consultative Services

Ø      Auto Liability Reserve Allocation

Ø      Auto Liability Proact ^HCV

Ø      Litigation Support

Ø      Pharmacology Review

Ø      Third Party/Demand Package Reviews

  Medical Bill Review Services

Ø      PPO Networks

Ø      Fee Schedules

Ø      Usual & Customary

Ø      DRG & Fee Negotiation