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CorVel Corporation | CERiS Division

Company Website:

http://www.corvel.com/

Business Focus:

HIP: Specialty - Worker’s Compensation

HIP: Supplemental / Voluntary Coverages

Company Description:

CERiS, a division of CorVel Healthcare, a leader in both prospective and retrospective claims review and repricing, combines clinical expertise and cost containment solutions to ensure the accuracy and transparency in healthcare payments. Accuracy and validation services include itemization review, DRG validation, facility repricing, contract and policy applications, review of implants and devices, and primary payer cost avoidance. Its universal chargemaster contains billions of charge items from more than 97% of the nation’s hospitals, helping to ensure the accuracy and objectivity of each claim review.

Company Ownership:

CorVel Corp. applies technology including artificial intelligence, machine learning and natural language processing to enhance the managing of episodes of care and the related health care costs. We partner with employers, third-party administrators, insurance companies and government agencies in managing worker’s compensation and health, auto and liability services. Our diverse suite of solutions combines our integrated technologies with a human touch. CorVel's customized services, delivered locally, are backed by a national team to support clients as well as their customers and patients.

Company Officials:

Greg Dorn
[President - CERIS Health]

Joyce Lumpkin
[SVP - National Sales]

Mark Van Nuland
[Former Sales]

Michael Combs
[Deputy CIO]

Jeff Gurtcheff
[Chief Claims Officer]

Victoria Turner
[Ohio MCO District Manager]

View Additional Employees and Representatives

View Past Employees/Others with Past Affiliations

Company News/Coverage:

CorVel: CERIS' "The Pulse of Payment Integrity" Outlines New Claims Processing Path For Payers

Business Insurance Names CorVel's CogencyIQ an Innovation of the Year

Enclarity Selected by CorVel for NPI Crosswalk, Provider Data Accuracy and Integration

CorVel Corporation Hires New Vice President of Sales

CorVel Announces Planned New Release of MedCheck Software

Thomas Fondren
[Area Vice President]

Jason Funke
[CERIS Vice President National Sales]

Edwin C. Hendrick
[Vice President of Sales]

Claudia Kettrick
[Vice President, Medical Review Systems]

David Lupinsky
[Vice President of Medical Review Services]

Darren Stahulak
[Vice President]

Gregory Stevens
[Vice President Nursing and Case Management Services]

Melissa Storan
[Vice President - Marketing]

Ron Wojciechowski
[VP of Managed Care Strategy]

Gay Wys
[Area Vice President]

Barbara Menkhaus
[RN Case manager]

Heather Lewis


Diane Pritchard
[Claims Specialist]

Celeste Taylor
[Director of Case Management]

Mary Ellen Kozeluh
[Case Management Manager]

Ellen Mary
[TCM & UR Manager]

Barbara Mattson
[Case Manager]

Linda McKenny
[Manager, Provider Development]

Barbara Wilson
[Quality Improvement Manager]

Corey Albrecht
[Former President of CERiS]

Duane Szymanski
[Former Product Manager]

HCBD-PRO Services

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