We design, develop and maintain managed care programs that integrate core services within Workersâ€™ Compensation.
As a result, both patients and their employers realize superior claims outcomes.
Our managed care solutions provide proactive management of Workersâ€™ Compensation cases. We fully integrate specialized managed care solutions with claims systems, delivering exceptional patient care while keeping claims costs low.
Peer Review â€“ Our panel includes URAC-accredited IROs from a wide range of specialties. They provide expert assessments of both medical necessity and causal relatedness for proposed treatments. Additionally, the process identifies and prevents ineffective or unrelated treatments.
Compliance â€“ Strict quality assurance ensures youâ€™re in compliance with all state-mandated regulations, as well as URAC standards for Workersâ€™ Compensation. Through ongoing education, we continually stay on top of trends and regulation changes.
Pre-Authorization Services â€“ Using the latest technology, our experts review requests for treatment against nationally accepted, evidence-based guidelines. This results in faster reviews, a more rapid return to work and shorter waiting periods for authorizations.
Our comprehensive approach delivers efficiency and results at every step through the life of a claim:
LEARN MORE â€ş