Knowing when a claim could benefit from a referral to field case management can be complicated. In this video, we have outlined key medical considerations that can guide your decision-making. If any of these factors apply to your claim, it may be time to make a referral. Our expert staff of case managers is here to help facilitate timely and appropriate medical care while coordinating a safe and timely return to work.
Our latest article explores how precise cost projections and life care plans can transform your approach to managing claims and financial planning, ensuring both empathetic patient care and robust reserve setting.
Enlyte’s latest Quarterly Medical Price Index Report delves into first- and third-party auto and workers’ comp claims using data from the top 200 billing procedures in professional services.
Understanding the intricacies of durable medical equipment (DME) is crucial to streamlining claims, optimizing costs and facilitating patient recovery. Here are five essential insights that adjusters should keep in mind when an injured employee requires DME for one or more products.
Diagnostic imaging is vital in workers’ compensation, offering critical insights into injuries, guiding treatment plans and supporting informed decision-making. This fundamental service enhances outcomes for injured employees and employers alike, streamlining the recovery process with timely and effective care.
In this article, Jill Harris, SVP, Network Operations outlines how the Coventry VIP Program benefits all parties. She provides an overview and the components of the program's offerings, illustrating how investing in provider relationships serves as a foundation for a robust network strategy.
In “The Evolving Claims Professional,” Steve Laudermilch notes that 50% of the current insurance workforce will retire over the next 15 years, creating a talent chasm among adjusters in our industry. Though claims operations have stabilized their staffs by backfilling deficits, many still struggle getting these new adjusters up to speed.