Independent medical bill review
Compliance & security
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Reporting & portal

Every bill. Every status. Every reason.

The client workspace is designed as a single place to submit, track, and retrieve—with the reasoning attached to every result. Where a capability is still being built, it is described here as intended, not as live.

The intended workspace

What the workspace is designed to do.

Features are confirmed with each client before they are relied on.

  • 01Secure bill submissionA controlled channel for bills and supporting material.

  • 02Receipt confirmationEvery submission acknowledged with its identifier.

  • 03Clean-receipt and service-level trackingWhen the clock started and when the bill is due.

  • 04Review-stage visibilityWhere each bill is, by stage.

  • 05Exception visibilityBills held for a reason, with the reason.

  • 06EOR retrievalThe explanation of review, by bill, when it is released.

  • 07Savings reporting by sourceFee schedule, coding, preferred network, and specialty audit—separately.

  • 08Downloadable reportingExtracts in the shape a program needs.

The program view

A calm view of the work.

Volume, service-level status, and recommended reductions—by source—on one page. No command center. A document you can read.

PROGRAM VIEW / PERIOD •••CURRENT

BILLS IN REVIEW128

WITHIN SERVICE LEVELALL

RECOMMENDED REDUCTION$412,908

BillStageDueStatus
SR–08421Clinical review09.05In review
SR–08433Base review09.05In review
SR–08436Exception09.08Held
SR–08440Return09.04Complete
REDUCTION BY SOURCE
Fee schedule46%
Coding review24%
Preferred network19%
Specialty audit11%
Illustrative dashboard

Cadences

Four rhythms of reporting.

  • 01

    Daily operational queue

    What is in review, what is due, what is held.

  • 02

    Weekly program movement

    What came in, what went out, what changed.

  • 03

    Monthly management view

    Volume, service-level performance, and reductions by source.

  • 04

    State and client-specific extracts

    Jurisdictional and program-defined reporting in the required shape.

Savings by source

Kept separate, reported separately.

Each category is measured on its own, so a program can see where its reductions come from and hold each source to account.

  • 01Fee scheduleReductions to the jurisdictional or benchmark schedule.

  • 02Coding reviewBundling, units, modifiers, and duplicate corrections.

  • 03Preferred networkScout agreements, applied where valid and advantageous.

  • 04Specialty auditItemized and complex-bill findings.

The reporting experience

Every line has to earn its place.

Ask to see a sample program view built from illustrative data. We will walk through it with you.

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