Company profile: Advanced Claims Review
1.1 - Company Overview
Company description
- Provider of medical bill review, hospital bill negotiations, lien negotiations, ambulatory surgery center review, surgical bill audit, and utilization review services, leveraging market software and clinical communication to audit coding, ensure compliance with fee schedules and case law, achieve accurate reimbursement, resolve liens without unnecessary litigation, and maximize savings.
Products and services
- Hospital Bill Negotiations: An audit-backed process that leverages audited findings to negotiate reduced, accurate hospital reimbursement, aligning payment with audited findings
- Lien Negotiations: A case-law-compliant service that reviews, negotiates, and resolves liens without unnecessary litigation, ensuring adherence to current regulatory requirements throughout resolution
- Medical Bill Review: A regulatory-compliant audit that scrutinizes coding, upcharges, and packaged services to ensure accuracy against state fee schedules and usual and customary rates
Key contacts
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Financial details
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1.2 - Competitors and similar companies to Advanced Claims Review
CodeBlue
HQ: United States
Website
- Description: Provider of restoration claims management, policies and claims services for the property and casualty industry.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
View full CodeBlue company profile →
Loss Management Solutions
HQ: United States
Website
- Description: Provider of innovative and unique solutions in the restoration process, applying Science, Service and Common Sense.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
View full Loss Management Solutions company profile →
Continuum
HQ: United States
Website
- Description: Provider of revenue cycle management services specializing in motor vehicle accident claims and third-party liability management.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
View full Continuum company profile →
Claims Settlement Agencies
HQ: United Kingdom
Website
- Description: Provider of third-party administrative services to the travel insurance industry.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
View full Claims Settlement Agencies company profile →
RJMW
HQ: United States
Website
- Description: Provider of insurance staffing, arbitration, and claims services.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
View full RJMW company profile →
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2.M&A buyers
2.1 Potential strategic acquirers in the sector
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2.2 - Strategic buyer groups for Advanced Claims Review
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Buyer group 2: ████████ ████████
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Buyer group 3: ████████ ████████
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Key Products: ████████, ████████, ████████, ████████
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3. Investors and private equity firms
3.1 - Buyout funds investing in similar companies to Advanced Claims Review
2.2 - Growth funds investing in similar companies to Advanced Claims Review
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4 - Top valuation comps for Advanced Claims Review
4.2 - Public trading comparable groups for Advanced Claims Review
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