WORKERS' COMP SOLUTION COMP42
Comp42 powers the pinnacle of predictive analytics and advanced technology for an innovative, dynamic approach to healthcare reimbursement.
Clinical Payment Integrity for Complex Workers’ Comp Claims
A specialty overlay designed to protect carriers from inpatient outliers, implant volatility, and high-exposure billing anomalies.
You may be satisfied with your current savings. Comp42 is set to redefine those expectations. With a fusion of:
- Advanced Technology Enhancements
- Expert Medical Oversight
- Tested Legal Strategy
- Legacy Industry Leadership
- Never Before Seen Savings Opportunities
We elevate billing accuracy and fairness to new heights. Every bill undergoes a meticulous evaluation to prevent overpayment. We audit for errors, waste, and abuse, apply precise repricing when needed, and confidently stand by the savings we deliver, ensuring our work holds up under scrutiny.
Traditional bill review was built for routine claims. High-severity exposure demands more.
And Rising
That’s the average cost of a workers’ comp medical bill. And it’s inflated by overbilling.
Clinical Payment Integrity
Enhance existing bill review systems with clinical precision for complex claims.
See how WellRithms can save you money, especially around high-dollar claims using Comp42's proprietary suite of solutions.
USUAL, CUSTOMARY, AND REASONABLE REPRICING
WellRithms offers specialized repricing services in Usual, Customary, Reasonable (UCR) states, focusing on bills not subject to state fee schedules. So why should you be paying a network access fee for a discount that doesn’t even save you money?
Stop Loss Outlier Inpatient Physician Review
Never before seen savings are now available in these fee schedule states.
Some providers in fee schedule states take advantage of outlier rules by using inflationary billing tactics to increase prices and secure higher payments.
WellRithms exposes these overcharges and ensures the allowed charges are accurate, significantly reducing costs.
Air & Ground Ambulance Review & Repricing
Air and ground ambulance bills often come with hidden fees and egregious charges. WellRithms spots unbundled charges and assesses transport services based on medical necessity, ensuring that every bill is accurate before payment is made.
Shield Indemnification™
Guaranteeing our recommended payment amount
Shield Indemnification™ protects carriers, plans, and members from the adverse impact of litigation expenses and balance billing tactics.
We are backed by a captive insurance company that allows for the transfer of all legal and financial liability from the payor to WellRithms, thereby guaranteeing the recommended payment amount.
Featured Insights
Proposed by Congress. Proven by WellRithms.
Blog
The National Healthcare Conversation Is Changing. Our Approach Hasn’t. Across the United States, policymakers are reexamining how healthcare dollars move through…
Exposing Trauma Response Charges
Bill of the Month
A California-based hospital recently submitted a bill of $100,618 for a one-night stay, all centered around a treatment for a fractured…
Medical Overbilling: Examining the Heart of the Problem
Bill of the Month
A two-day hospital stay in a California-based hospital gave our bill review team some serious heart palpitations – not from medical…
Workers' Comp Provider Inquiries
If you’re a workers’ comp provider with a question about a bill, repricing, or a dispute, and our team will review your inquiry and respond directly.
Want to work with WellRithms?
Let’s connect to find a solution best for you and your team.