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of their program attributes include: |
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Full
service operations in AK, AZ, CA, CO, ID and UT (offices opening in
NV and OR by 10/01) with outsource contracts in place to handle
claims in all other states, but still retaining ultimate
responsibility for claim handling and payments |
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State
of the art claims management system for client access allows
immediate access to key loss data through the internet |
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Allows
communication with claims staff via e-mail access |
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Provides
on-site claim reviews upon request |
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Produces
medical provider panels for employers to maximize use of PPO
physicians who are dedicated to returning employees to work |
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Nurse
case managers are utilized to direct and manage medical treatment |
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Assists
employers in development of temporary, alternate work programs |
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Allows
claims to be reported via internet or fax |
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Reserves
established on probable outcome of the claim |
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Established
partnerships with Medical Cost Containment providers to achieve fee
savings through the use of fee schedules and network of preferred
providers |
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All
suspected fraud claims are investigated |
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Loss
runs produced and distributed monthly |
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