• Utilization Management Programs

    Insure that medical treatment for health, auto and workers' compensation claims is appropriate, necessary, related and properly directed by Certified U.R. professionals.  
     
  • Case Management

    Make the most of benefit dollars by managing critical illnesses and accidents and keeping the treatment plan on track toward maximum medical recovery and a return to work.
     
  • Independent Medical Exams and Peer Reviews

    Obtain definitive and timely medical and dental exams and peer reviews nationally for auto, liability, workers' compensation, disability and health claims.
     
  • Medical Bill Auditing

    Make sure that bills for medical treatment or hospitalizations are covered by the policy, medically necessary, accurately billed, properly documented and finalized by our trained Auditing R.N.s
     
  • Medicare set-Asides

    Protect Medicare's interests and avoid judgments, liens and penalties against claim settlements by utilizing our Medicare Certified professionals.
     
  • Network Management

    Gain access to leading PPO Networks and manage network utilization through directing care when appropriate to the best possible medical resources.
     
  • Medical Fraud Solutions

    Add our forensic medical review expertise to your SIU or litigation effort, bringing better results in settlements, recoveries or network credentialing activities.





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