Medical-Only Claims

A Medical-Only claim in workers’ compensation refers to a scenario where an injured employee requires medical attention for a work-related injury or illness but does not miss enough work to qualify for wage replacement benefits. If you would like to build your own service package click here.

ServiceDescription
Initial Injured Worker Intake & Mechanism of Injury InterviewInitial assessment and documentation of an injured worker's condition, focusing on the specific circumstances and mechanism of the injury.
WC Attorney Memorandum on Compensability or Claim DenialExpert memorandums from attorneys specializing in workers' compensation, advising on the compensability of claims or the grounds for their denial.
Field & Accident Site InvestigationsDetailed on-site investigations to gather factual data and evidence relevant to the accident, crucial for accurate claim assessment.
EDI Submission of Applicable Labor Commission FormsEfficient and accurate submission of required forms to the Labor Commission using Electronic Data Interchange (EDI), ensuring compliance and timely processing.
Bill Review and PaymentsThorough review of medical and related bills for accuracy and appropriateness, followed by timely payments to providers.
Medical Records ReviewComprehensive analysis of medical records to assess the nature of the injury and the appropriateness of the treatment provided.
Nurse Case Management AssistanceQualified nurses assist in managing the case, ensuring appropriate care and support throughout the recovery process.
Scheduling of Treatment ProgramsCoordinating and scheduling necessary treatment programs, tailored to the specific needs of the injured worker.
Scheduling of Diagnostic StudiesOrganizing essential diagnostic tests to accurately diagnose and assess the extent of injuries.
Transportation to and from Medical ProvidersProviding reliable transportation services for injured workers to attend all medical appointments.
Independent Medical Evaluations (IME)Conducting independent medical evaluations for an objective assessment of the medical condition.
Impairment Rating EvaluationsEvaluating the degree of permanent impairment to determine appropriate compensation and benefits.
Return-to-Work ProgramsDeveloping customized programs to facilitate the safe and timely return of injured workers to the workplace.
Full and Final Settlement Agreement NegotiationsNegotiation of settlement agreements for a fair and final resolution for all parties involved.

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