Auto No-Fault
Auto Managed Care Services
We help achieve the highest level of medical savings and payment integrity through innovative cost containment solutions.
We’ll partner with you to
- Streamline your workflow through an end-to-end solution adapted to your needs
- Strengthen your review results with state- and industry-specific expertise
- Maximize care access and in-network utilization with leading network strategies
- Identify and resolve challenges with data-driven insights and technology
Our auto managed care program
Auto Injury Management Solutions (AIMS)
- Compliance & support with Auto Insurance Cost Reduction Act (AICRA)
- Decision Point Reviews (DPRs)
- Telephonic Case Management (TCM)
- Independent Medical Examinations (IMEs)
- Treatment utilization reviews (including peer reviews and internal appeals process)
Expert rules, audit, and negotiations
- Unique platform-independent solution
- Dynamic Clinical & Coding Logic (CCL) rules
- Dynamic TrueCourse (Wisconsin-specific) bill review
- Clinical and coding expertise
- Out-of-network negotiations
- Customized reporting
- Compliance, regulatory, and state-specific expertise
PPO network offering
- National coverage for maximized access
- Customizable network to meet client-specific needs
- Simplified administration
- Ongoing data validation
- Provider panels and lookup tools
- Dedicated customer service team
Clearinghouse and payment services
- Fast, accurate, secure web-based eBilling
- Online, standardized communication
- Paper-to-electronic conversion
- Web-based document management
- Highly configurable payment platform
- Extensive ePayment networks
- Mutiple, layered fraud detection
