Initial Injured Worker Intake & Mechanism of Injury Interview | Initial 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 Denial | Expert memorandums from attorneys specializing in workers' compensation, advising on the compensability of claims or the grounds for their denial. |
Field & Accident Site Investigations | Detailed on-site investigations to gather factual data and evidence relevant to the accident, crucial for accurate claim assessment. |
EDI Submission of Applicable Labor Commission Forms | Efficient and accurate submission of required forms to the Labor Commission using Electronic Data Interchange (EDI), ensuring compliance and timely processing. |
Bill Review and Payments | Thorough review of medical and related bills for accuracy and appropriateness, followed by timely payments to providers. |
Medical Records Review | Comprehensive analysis of medical records to assess the nature of the injury and the appropriateness of the treatment provided. |
Nurse Case Management Assistance | Qualified nurses assist in managing the case, ensuring appropriate care and support throughout the recovery process. |
Scheduling of Treatment Programs | Coordinating and scheduling necessary treatment programs, tailored to the specific needs of the injured worker. |
Scheduling of Diagnostic Studies | Organizing essential diagnostic tests to accurately diagnose and assess the extent of injuries. |
Transportation to and from Medical Providers | Providing 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 Evaluations | Evaluating the degree of permanent impairment to determine appropriate compensation and benefits. |
Return-to-Work Programs | Developing customized programs to facilitate the safe and timely return of injured workers to the workplace. |
Full and Final Settlement Agreement Negotiations | Negotiation of settlement agreements for a fair and final resolution for all parties involved. |