Medical damage demands on liability claims often assume all medical treatment is necessary and related to an accident. It can be difficult to push back against these demands because of the medical complexity of the claim. Avoid overpayment on claims and ensure accurate settlements with expert review and guidance from our seasoned team of registered nurses.
Lean on our medical expertise to help you resolve complicated medical claims faster and more accurately.
Settle claims with a higher degree of accuracy with guidance from our highly experienced team of registered nurses.
Improve your productivity with consistent and accurate evaluations of claims’ medical records in ten days or less.
Address a specific case question or receive a full analysis of bills and medical records with flexible options that fit your needs.
Evaluate claims accurately with our thorough and expert guided review process
Receive an objective analysis of medical records, including bills and requested treatment, to defend against excess damages and settle claims more accurately.
Deliberate case analysis findings confidently with guidelines and literature to support the rendered opinion.
Ensure your specific needs are met with flexible review options and involvement of your management staff.
Liability Nurse Review is part of our full suite of claims solutions that provide compliance, reporting, and decision support tools and services.
Expedite record review with fast, accurate extraction of key medical information from unstructured documents. AI automation tools deliver accurate, impartial reviews of every file, helping you settle more claims while conserving time and resources.
Comply with CMS and avoid costly penalties. Our Medicare compliance and reporting solutions provide the key information you need to mitigate risk.
Streamline workers' comp data reporting and improve compliance with advanced analytics.
Streamline and simplify workers' comp regulatory reporting with a single daily data feed. Insurers save time and improve accuracy with our suite of compliance reporting solutions.
Collect FROI/SROI and gather accurate workers’ comp claims medical data to set fee schedules, identify fraud, and control costs. States can initiate EDI reporting with wcCapture or move to new IAIABC release standards.
Leverage AI and predictive analytics to quickly determine claim severity, improve triage, and control costs throughout the claims cycle.
Achieve consistent and accurate injury evaluations with data-driven insights for fast, fair, and cost-effective resolutions.
Reduce risk and achieve full MSP compliance by streamlining payment process.
Proactively handle compliance and ensure error-free submissions to CMS with advanced analytical and smart reporting capabilities.
Improve your Medicare compliance for future medical allocations while managing expenses with an advocacy-driven approach.
Leverage our industry-leading clinical and legal expertise to achieve MSA savings through experience, advocacy, and innovation.
Maximize your one chance at obtaining an Amended Review from CMS—and gain savings for eligible claims.
Eliminate risk and exposure while ensuring resolution of more claims with a comprehensive, advocate-driven approach to conditional payment disputes.