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Claims Management Tools

Medical Record Integrity Review

Independent Medical Review (IME)

Medical Record Integrity Review

 A medical record review designed to reduce wasted payouts on weak or exaggerated claims by evaluating the medical story's alignment with liability claims. 


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Medical Necessity Review

Independent Medical Review (IME)

Medical Record Integrity Review

 Objective evaluations of treatments and procedures to determine if they are reasonable, necessary, and consistent with standards of care. This service helps insurance teams reduce risk and improve claims accuracy. 

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Independent Medical Review (IME)

Independent Medical Review (IME)

Independent Medical Review (IME)

. This service streamlines the IME process, reduces administrative burden, and ensures that insurance teams and legal professionals have accurate, organized information for defensible outcomes. 

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Chronology & Treatment Timeline

Chronology & Treatment Timeline

Independent Medical Review (IME)

A clear, date sequenced report summarizing care, diagnosis, procedures, and outcomes to quickly gauge the strength of the medical evidence supporting the claim before litigation or settlement. 

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Red Flag Review

Chronology & Treatment Timeline

Red Flag Review

Targeted analysis of medical records to identify inconsistencies, patterns, or documentation concerns that may indicate fraud, exaggeration, or unsupported claims.


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