INTRODUCING NETWORK PLUS

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