Horizon Casualty Services (HCS) achieves its results through an array of industry pacesetting, value-added administrative services including, but not limited to: medical management, hospital utilization management, network steerage (to the extent allowed by law), customer inquiry management, medical bill processing and payment, payment tracking and monitoring, check issuance, Internet access to claim data, and automated reporting. All of our services aim to streamline the claim management process.

HCS clients seeking new strategies to improve their medical management programs can select HCS to administer their full medical management program. Our goal is to achieve data-driven process and outcomes precision through integrated management of the precertification, medical bill processing and medical bill payment processes. All claim and medical bill data are available to clients via Internet access. New claims can be uploaded via electronic transfer or Internet connection. Medical bill processing capabilities include unpaid medical bill inventory tracking, duplicate/fraud tracking and control, payment ledger reporting, and other unique features listed below.

Unique program features: 

• Fully credentialed professional network
• Paperless, fully integrated proprietary iSmarTrak claims platform with Internet access to all claim and medical bill data
• Electronic business rules-based bill processing
• Duplicate billed line identification database wide
• Fully electronic medical payment funding process
• Extensive facility network
• Out-of-network negotiation services
• Sophisticated data analysis/automated reporting
• Medical consultant program featuring New Jersey licensed physicians in active practice