For Payers & TPAs

Modern Workers’ Comp Bill Review.
Stop overpaying. Prove every decision.

Bring pre-payment integrity into every medical bill review. Catch pricing errors before payment and back every decision with clear, defensible logic.

Reduce medical spend • Fewer provider disputes • Faster claim resolution • Defensible pricing decisions

Why bill review creates disputes, delays, and risk

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Decisions can't be clearly explained

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Customer service → compliance → engineering → customer service

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Adjusters rely on incomplete or inconsistent data

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Too much time spent justifying decisions instead of moving claims forward

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Overpayments go unnoticed and accumulate

If you can't explain the bill, you don't control the outcome.

Defend every pricing decision. Instantly

No more “Why did the bill pay this way?”
Every reduction includes regulatory citations, fee schedule references, and links to official sources. Adjusters can respond to provider disputes in minutes, not days.

Sample RuleTrace™ report showing line-by-line pricing, rules, and calculations
See a live RuleTrace™ →

Medical Cost Containment Starts Before Payment

BillSentry brings pre-payment integrity directly into the workers’ compensation bill review workflow, identifying incorrect coding, fee schedule issues, and reimbursement errors before payments are issued.

Medical bill repricing. Coding validation. Payment accuracy. All before the bill is paid.

Explore Workers’ Compensation Payment Integrity →

Prevent provider disputes before they start

BillSentry RuleTrace™ gives providers a clear explanation of how their bill was priced, before they need to ask.

Add a QR code to your EOR so providers can instantly see exactly how their bill was priced:

  • The fee schedule applied
  • The rule used
  • The official source behind the decision

Fewer disputes. Faster resolution. Lower administrative cost.

See exactly what your providers will see

Preview the full RuleTrace™ explanation before sending your EOR.

Include a RuleTrace™ ID on your Explanation of Review (EOR) so providers can look up their bill instantly.

Don't have an ID? Open a sample →

Everything You Need for Workers’ Comp Payment Integrity

Review, reprice, validate and defend every medical bill before payment.

Accuracy

  • ✓Real-time fee schedules
  • ✓Professional + facility adjudication
  • ✓Coding & reimbursement validation

Transparency

  • ✓RuleTrace™ reports
  • ✓Direct regulatory citations

Scale

  • ✓High-volume processing
  • ✓API + UI workflows
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What changes when you move to BillSentry

Before

  • ✕ Manual review delays and bottlenecks
  • ✕ Provider disputes with no clear answers
  • ✕ Black-box pricing you can’t explain
  • ✕ Integration that slows everything down

After

  • ✓ Real-time pricing with no delays
  • ✓ Clear, defensible documentation
  • ✓ Fewer disputes and faster resolution
  • ✓ Seamless integration into existing workflows

Less time defending decisions. More time moving claims forward.

See the platform in action

See exactly how BillSentry works for payers

Explore How It Works →