CAREWORKS

Ensures injured employees get immediate care recommendations via 24/7 telephonic access to clinical professionals.

Includes telephonic and field-based nursing support to coordinate appropriate medical treatment and shorten claim durations.

Supports injured workers through the entire surgical process, from pre-operative planning to post-operative recovery coordination.

Provides specialty clinical skillsets to address psychological factors, such as trauma or fear, that may hinder physical recovery.

Evaluates medical necessity and appropriateness of requested treatments to ensure compliance with clinical guidelines.

Oversees prescription drug usage and costs to ensure appropriate medication therapy and maximize savings.

Helps employees return to productive work through rehabilitation, job analysis, and safe-return planning.

Facilitates temporary work assignments at non-profit or community organizations for employees with temporary restrictions.

Manages a network of over 40,000 providers for services like diagnostic imaging, durable medical equipment (DME), and transportation.

Offers nationwide access to credentialed providers with negotiated rates to drive significant savings on medical expenses.

Employs expert negotiators to secure deeper discounts on large medical bills and out-of-network charges.

Applies a robust rules engine and state fee schedules to identify billing errors and re-price charges accurately.

Provides accurate re-pricing and bill review specifically for auto first-party and personal injury protection (PIP) claims.

Utilizes nurse consultants to analyze medical treatment in liability claims to help reduce settlement costs.

Develops specific lists of preferred providers for employers to simplify the search process for injured workers.

Streamlines the financial side of claims by providing digital payment options for provider reimbursements.