We understand that exams and reviews done right and on time, will impact claim outcomes.
We’re on it.
If you're dealing with above-average caseloads and bringing new staff up-to-speed, we're here to help you mitigate provider risk, improve the quality of physician examinations and reports, and minimize administrative workload.
Independent Medical Exams (IME)
Independent medical evaluations (IME) are pivotal in claims management, yet they are frequently disregarded as an early intervention tactic. To achieve transparency in claims and facilitate prompt, cost-effective resolution, it is imperative to collaborate with an IME provider possessing widespread geographic coverage, a diverse pool of medical specialists, and rigorous quality protocols.
Peer Reviews
Peer reviews prove advantageous when relatedness is uncertain and can be beneficial in auto claims where a low policy limit might render clinical services prohibitively expensive.
We conduct a complete review of treatment records, interview the injured individual, and hold phone consultations with all treating providers.
Functional Capacity Exams (FCE)
Functional Capacity Evaluations (FCE) serve to assess whether the injured employee is fit for work, in what capacity, and if any workplace adjustments are necessary.
FCEs aid in averting further workplace injuries, settling disputes regarding the severity of the injury, and furnishing precise details about the injury.
Independent Review Organization (IRO)
With our nationwide coverage and knowledge of jurisdictional differences, we're equipped to address the requirements of group health clients across the country.
Expert reviewers, drawn from across more than 90 specialties, answer questions on medical necessity and experimental or investigational treatments — as well as on medical plan language and policy applications.
WHAT WE DOWe offer Independent Medical Examinations, Peer Reviews, and Independent Review Organization solutions from eight regional service centers and more than thirty-five clinic-based settings. With a vast network of 25,000 providers spanning various medical specialties, we drive patient recovery, facilitate return to pre-injury status, and achieve successful outcomes in Workers’ Compensation, Automobile, Disability, and Health benefit systems.
Contact Us
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