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Claims Administration and Auditing

 Medical Case Management

 Data Management & Analysis

 Audit

 Adjustment Services

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 Pharmacy Management

 Vendor Management

 Medical Bill Review

 

Claims Administration and Auditing
 
 
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Medical Case Management
 
Our experienced Claims staff works closely with our industry-leading medical vendors to evaluate the treatment plans provided to each claimant.  We leverage our expertise as well as vendors and tools to determine whether the treatment is reasonable and necessary for those injuries that are causally related. Our approach focuses on the medical treatment provided and the medications that are being prescribed.
 
We have experience developing a California Medical Provider Network and Pharmacy Benefit Network, which can be used for clients' California workers compensation claims.