Casualty Solutions

California MTUS Drug Formulary Updates
The California Division of Workers’ Compensation (DWC) released a revised draft MTUS Drug Formulary rule and opened a second 15-day comment period on the rule. Read More

Posted in: Blogs, Workers' Compensation Management, Casualty Solutions, Pharmacy Solutions

Eastern Seaboard Governors Declare States Of Emergency In Preparation For Hurricane Irma
In preparation for Hurricane Irma, several southeastern states have declared states of emergency. This planning includes provisions for maintaining access to necessary medical care during the time of the declared emergency. Read More

Posted in: Blogs, Workers' Compensation Management, Casualty Solutions, Pharmacy Solutions

Relief for Injured Workers in Harvey’s Path
The Texas Department of Insurance (TDI), released a bulletin on August 29, 2017, aimed at ensuring a continuity of care for injured workers living in the counties impacted by Hurricane Harvey. Read More

Posted in: Blogs, Workers' Compensation Management, Casualty Solutions, Pharmacy Solutions

New Physical Therapy Evaluation Codes for 2017: Moving Toward Value Based Payment
The American Medical Association (AMA) shook up the property and casualty industry by bringing a big change to the 2017 Current Procedural Terminology (CPT) code set. Two very familiar CPT codes, 97001 Physical Therapy (PT) Evaluation and 97002 Physical Therapy Re-evaluation were deleted effective January 1, 2017. Read More

Posted in: Blogs, Casualty Solutions

An Untapped Opportunity: How to Settle Unrepresented Third Party Claims Quickly and Easily
Here’s a familiar scenario: A driver gets rear-ended by another driver and bumps her head. Read More

Posted in: Blogs, Auto Casualty Claims Processing, SmartPrice Solutions, Casualty Solutions, Third Party Auto Casualty Claims Processing

Best Practices for Employers and Insurers in Building Today's Most Effective and Connected Return-to-Work Programs
In pursuit of building out an effective RTW program, it would greatly help employers and carriers to keep in mind the following best practices and elements... Read More

Posted in: Blogs, Workers' Compensation Management, Casualty Solutions

Readily Accessible Compliance-Based Content
As more regulatory guidelines are applied, managing large quantities of information has proven to be very challenging. Read More

Posted in: Blogs, Workers' Compensation Management, Casualty Solutions, Third Party Auto Casualty Claims Processing, First Party Auto Casualty Claims Processing

Using Nurse Review on Third Party Claims: When, Why and How
When third party auto casualty claims are extremely complex, for example, when multiple providers are treating a claimant, the claimant has pre-existing conditions or the claim has been open for an extended period of time, insurance carriers benefit by bringing in medical professionals to perform claim reviews. Read More

Posted in: Blogs, Auto Casualty Claims Processing, Casualty Solutions, Third Party Auto Casualty Claims Processing

FAIR Health and the Pricing Methodology
As an organization within the property and casualty (P&C) industry who's largely involved in the healthcare market, having access to a database with a transparent methodology for deriving provider market rates and insurance information serves as a valuable asset. Read More

Posted in: Blogs, Casualty Solutions

Bill Review Helps Provide Better Third Party Outcomes
Some auto casualty insurance carriers’ workflows are missing a key part of an end-to-end third party solution – an advanced medical bill review platform. Read More

Posted in: Blogs, Casualty Solutions, Third Party Auto Casualty Claims Processing

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