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