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EK Health Services Inc. is a national workers’ compensation managed care organization, and is a major vendor of utilization and bill review services for California claims administrators.

EK Health just announced the launch of Billtelligent, a proprietary technology that it says is taking medical bill review in workers’ compensation to the next level. Billtelligent eliminates barriers for EK Health, empowering an independence the national managed care company had not previously realized.

Billtelligent leverages a unique cloud-based, modular design focused on efficient bill handling through innovative strategies, supported by nimble technology. The company says it promotes flexibility through intelligent routing, automation, auto-adjudication and the ability to customize workflows with incredible specificity (without cumbersome management requirements).

“We did not want to create another software for software’s sake,” said Eunhee Kim, EK Health’s Owner & CEO. “With Billtelligent, we have control at all levels and we can bring the change our industry deserves. We will be faster, flexible and more accurate. This gives us the ability to better optimize managed care strategies and improve quality of care for injured workers – which is our ultimate focus.”

EK Health says it is keeping with its promise to transform the workers’ compensation industry as an innovator dedicated to integrity, transparency, and customer-focused solutions.

“We have been asked many times to ‘demystify medical bill review’, due to the unnecessary complexities, exorbitant fees and undisclosed revenue sharing that exists today,” shared Zebrah L. Jahnke, VP of Business Development. “We knew offering transparency required full ownership of our processes and technology.”

“It was clear to me that we needed to be free from the constraints of leased software to fully realize our potential. With Billtelligent, we have direct access to PPOs, allowing us to create our own onboarding and custom network design,” Kerri Wilson, EK Health’s President & Chief Operating Officer explained.

The company say the benefits and and advantages include:

– – Stands alone in design, functionality, and customization
– – Was built from the ground up by EK Health, giving complete independence and ownership
– – Is a modern bill review technology designed to evolve
– – Removes barriers through automation & limitless creative workflows
– – Replaces complexity with simplicity
– – Supports EK Health client programs with reduced turnaround times
– – Ensures quality results through efficient execution
– – Intelligent trigger-based routing for near real-time bill processing as the rule, batch processing as the exception
– – Real-time access; real-time status; real-time fixes – all before a bill is finalized
– – Sophisticated pended-bills load balancing to optimize workforce productivity
– – User-friendly, customizable client portal allows external users access to view bills for approval/denials within the bill’s life-cycle
– – Highly configurable and flexible system requiring minimal code changes to introduce new features, adapt to future requirements and onboard new clients-
– – Limitless unique bill routing workflows, automate agreements, and manage client-specific network structures

Through this innovative technology, EK Health says it is not just meeting clients where they are today, EK Health is taking them into the future with nimble solutions realizing immediate gains.