Review Services

Utilization Review

Researchers have concluded that compliance with the Official Disability Guidelines has been shown to reduce claim duration by 13% and reduce medical costs by 38%. Utilization Review allows payers to review treatment for medical necessity and inject evidence based medicine into the treatment plan for the injured worker.

URAC Accredited
- URAC accredited for Workers’ Compensation Utilization Management
Nationwide
- All jurisdictions including New York OnBoard PARs
Our Physicians
- Exclusive and directly contracted physician reviewers
Reports
- Easy to read letter templates
Peer to Peer Communication
- Successful peer-to-peer communication on 41% of UR cases
On-time Percentage - 99.98%
- Our software platform keeps us organized and on-time
Level 1 Reviewers
- Use Physician Assistants for faster approvals

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Peer Review Services

Peer Review

IME-like review without the in-person exam. Open ended questions to receive evidence-based physician recommendations.

½ cost of an IME
Reduced friction with the injured worker
Learn more before pursuing an IME
<7 day turnaround time

Physician Pharmacy Review

Speciality matched physicians review the Rx regimen and recommend treatment alternatives through peer-to-peer discussion.

Specialized physician reviewer panel
Directly contracted physicians that only work with Arbicare
Peer discussion rate = 75%
Provider agreement rate = 90%
Agreements captured in writing
Monthly follow-up to encourage agreed upon Rx changes

Demand Package Review

Attorneys demand high dollar settlements regardless of the claim worth. Get clinical help before negotiating.

Physician Assistants (PA-C) review the case
Each PA-C is a Medical Professional Level Consultant (MPLC)
Sorted and organized medical records
Clear report summary with key takeaways
Display unrelated treatment
Reduce bills to usual and customary amounts
Reviewers deposed if necessary

Employees who are valued during difficult times are employees who recover

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