Prizm, Medical Bill Review Specialist Email Format

InsuranceNew Jersey, United States11-50 Employees

Prizm, based in Mount Laurel, New Jersey, provides medical management and medical bill review services to auto, property, and casualty insurers, delivering tools to support accurate adjudication and reserve protection. It operates nationwide first-party bill review through its web-based claims management system and offers a Demand Package Review program to audit paid and unpaid medicals against PIP schedules, usual and customary rates, and Medicare. In New Jersey, Prizm maintains a certified Decision Point Review under the AICRA program and has served auto carriers in the state since 2001, supported by in-house professionals and a PAR panel reviewing ongoing care. For New York PIP matters, the company provides arbitration support with a certificate of conformity and evaluation of medical bills and records per the New York Fee Schedule, with experts available for litigation. It also supplies SIU validation services to support enhanced medical investigations and validate internal results, including for litigation contexts.

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