METHOD FOR AUTOMATICALLY ASSOCIATING SURGICAL IMPLANT TYPE WITH SURGICAL MEDICAL BILLING CODES

Abstract

Embodiments of the disclosure provide systems and methods for automated review of medical bills based on billing codes therein and surgical implant device types associated with those codes. Performing an automated review of medical bills can comprise maintaining a database of surgical implant device information and associated pricing information. When an electronic record for a medical bill is received, a determination can be made whether to review the electronic record for the medical bill based on information within the electronic record indicating use of a surgical implant device. In response to determining to review the electronic record for the medical bill, a price for the surgical implant device can be determined based on the electronic record for the medical bill and the database of surgical implant device information and associated pricing information. The determined price can be provided as a recommended payment amount for the surgical implant device.

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