| •
|
Oversight
on 100% of your claims |
| |
|
| •
|
Panel
/EPO model |
| |
|
| •
|
Triage
of every claim (Med Only & Indemnity), including recommended
action plan |
| |
|
| •
|
Real
time monitoring of timelines for compliance |
|
|
• No 30/60/90 day diary |
| |
|
| •
|
Coordination
with claims professional for medical and legal issues |
| |
|
| • |
Concise
and consistent report format including ACOEM guidelines |
| |
|
| • |
Telephonic
RN Case Management / EDI into your claims administration system
(portal) |
| |
|
| • |
Medical
Director oversight as they pertain to all medical issues |
| |
|
•
Reduction in formal UR requirements. Estimates are in the 65%
range. |
| |
|
| • |
Return
to Work Program – Transitional/alternative options. |
| |
|
•
1-90 days |
| |
|
| • |
Legal
review and assistance where appropriate |
