our in-house, domestic services

Pre-Authorization Review

• Prospective 
• Concurrent

Retrospective Review

• Medical 
• Pharmacy

• Telephonic 
• Field
• Vocational
• Catastrophic
• Early Intervention 
• Job Analysis/Placement 
• Medical Cost Projections

 Manual reviews with medical records.

• Medical
• Hospital
• Pharmacy
• Provider Negotiations
• Hospital Bill Negotiations

 MedicusRx has the only non-profit, acquisition cost-based pharmacy network in the nation with >61,000 pharmacies. 

• Pharmacy Transparency Audits
• Retrospective Medication Audits 
• Pharmacy Peer Reviews
• Pharmacy Reporting and Analytics

• Medical Evaluations (DDE, RME, Peer, Disability)
• Maximum Medical Improvement & Impairment Ratings
• Complex Medical Reviews

• Outcomes research
• Population studies
• Cost-Effective Analysis

• Acute and chronic injuries
• Claims examiners can take initial statements and health history more thoroughly