Auto Casualty BILL REVIEW

Contain Rising Auto Claim Costs with a Connected Bill Review Solution

As vehicle technology costs, medical inflation and regulatory demands drive up claim severity, auto claims management becomes harder to control. Enlyte’s configurable, end-to-end auto medical bill review solution helps you stay ahead of rising claim costs by accurately assessing severity and aligning claim strategies with policy exposure from the start to reduce loss adjustment expenses and improve performance over time.

Key Metrics

76%
Average Reduction in Billed Charges
100+
Proprietary Clinical Edits Drive Up to 60% Greater Accuracy
99.9%
On-Time Fee Schedule Deployment
50%
No-Touch Automated Bill Processing

REDEFINING AUTO CLAIMS MANAGEMENT

End-to-End Bill Review Built for Precision and Control 

By combining AI-powered models with configurable workflows in a single integrated bill review solution, you increase automation, enable data-driven decisions, reduce costs and lower overall medical severity.
 

Advance Automation with Configurability without Inviting Leakage

Leverage intelligent rules and data-driven models to route, optimize and align processing with your policy requirements and risk tolerance, achieving up to 50% no-touch automation.

Spend Less to Contain More Costs

Capture a higher share of cost containment dollars earlier in the bill review process, reducing reliance on high-fee downstream services.

Accelerate Implementation with Seamless, Future-Ready Integration

Minimize IT effort and implementation time with the Guidewire Accelerator, enabling near real-time data exchange and straight-through processing.

Turn Industry Data into Better Claim Decisions

Harness the industry’s largest auto medical bill dataset, covering 70% of the market, to identify emerging cost drivers, benchmark performance and drive more informed claim decisions with unmatched insight.

BILL REVIEW Platform

DecisionPoint

Customize your bill review program to match your business strategy and claims-handling philosophy with DecisionPoint®, a highly configurable platform built for casualty insurance carriers and third-party administrators. It delivers compliant, timely fee schedule and benchmark pricing to ensure medical bills are repriced accurately, while providing real-time access to bill details and claim status for more precise auto claims management.

Explore Configurable Bill Review

See It in Action

“DecisionPoint has allowed us to achieve a key organizational objective of only paying exactly what we owe when we reprice our medical bills from first-party medical. Enlyte’s products help improve processing accuracy.” 

—AVP Auto Claim Product Development; National Carrier

Cost Containment Levers

    New Jersey Integrated Bill Review

    Simplify New Jersey claims management with a fully connected bill review solution designed to support the entire workflow. New Jersey DecisionPoint Review+ (NJ DPR+) delivers comprehensive, in-house management of all claim components, reducing vendor handoffs, strengthening compliance and improving consistency in claims handling.

    Negotiation Services

    Secure fair and reasonable pricing through direct-to-provider negotiations that deliver meaningful discounts on medical bills. Using prompt-pay, data-enhanced and strategic negotiation approaches, these services address out-of-network bills across a wide range of bill types.

    ePay

    Move beyond inefficient paper-based payment processes with secure, fully-integrated electronic transactions. ePay accelerates payment cycles, reduces administrative costs and gives providers the flexibility to choose their preferred payment method.

    eBill

    Improve auto claims efficiency and reduce operating costs with electronic medical billing that connects providers and payers in a single digital workflow. eBill helps ensure compliance with state compliance requirements while shortening billing and payment turnaround times.

    Trusted by

    9 of the Top 10 

    Auto Insurers

     

    What You Gain

     

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    Reduce claim severity and total loss costs through earlier, intelligence-driven intervention within a unified workflow

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    Lower claims handling costs by automating routine bill processing and minimizing manual review

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    Increase consistency and control with configurable workflows aligned to policy, jurisdiction and risk tolerance

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    Accelerate claim resolution through connected processing and real-time data connectivity

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    Strengthen decision-making with insights grounded in peer and industry data

    Drive Greater Cost Containment from the Start 

    Connect with us to see how a connected bill review platform helps you act earlier, control costs more effectively and improve claim performance across the workflow.

    Frequently Asked Questions About Auto Casualty Bill Review
     

    What is auto casualty bill review and how does it work?
    Auto casualty bill review evaluates and reprices medical bills using fee schedules/benchmarks, clinical edits and data-driven rules to ensure accurate payments utilizing cost containment opportunities early in the claim lifecycle.

    How does Enlyte’s Bill Review help reduce claim severity and costs?
    By applying intelligence-driven edits and pricing early in the process, bill review captures a greater share of cost containment before bills move to high-cost downstream services, controlling overall claim severity and total loss costs.

    How does Enlyte’s Bill review integrate with claims systems such as Guidewire?
    Enlyte’s Bill Review solution includes a pre-built integration that connects Guidewire ClaimCenter with with DecisionPoint through a cloud-native Guidewire Accelerator. A single integration auto-populates key claim, medical bill and electronic payment data, enabling near real-time data exchange, reducing IT effort and supporting seamless end-to-end claim workflows. 

    What if I only need one component of the bill review suite?
    Enlyte’s Bill Review solutions are flexible and scalable to fit your needs. While the full suite delivers greater cost containment, you can also implement individual components such as bill review, negotiations, ePay or eBill based on your program needs.