California-based Fair Isaac Corporation, a provider of analytics and decision technology, announced that OneBeacon Insurance Group is
implementing Fair Isaac’s medical bill review services for Personal
Injury Protection (PIP) and med-pay bills. The agreement is the third
between OneBeacon and Fair Isaac within the past year, and expands the reach of Fair Isaac’s outsourced medical bill review technologies in the industry.
Fair Isaac’s medical bill review services provide OneBeacon with
powerful new tools for reducing claims costs. Fair Isaac’s medical
bill review software technologies reportedly increase productivity and
consistency for insurers by automating the labor-intensive process of
reviewing and repricing medical bills to levels consistent with state
laws. The software also automatically applies preferred provider
organization (PPO) discounts to maximize savings.
“We are proud to expand our partnership with one of the
Northeast’s leading property-casualty insurance carriers,” said Sean
Downs, vice president of Healthcare and Insurance at Fair Isaac.
“OneBeacon can now tap into the operational and cost benefits of our
claims processing solutions as we continue to increase the impact of
Fair Isaac’s analytics and services within the insurance industry.”
In 2002, OneBeacon contracted with the Fair Isaac Insurance
Service Bureau for outsourced workers’ compensation medical bill
review, and licensed Fair Isaac MIRA(R) Claims Advisor For Reserving
software to optimize their workers’ compensation loss reserves.
OneBeacon’s bills will be processed at Fair Isaac’s Insurance
Service Bureau centers in Coppell, Texas and Irvine, Calif.


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