Managed Care Integration

The Managed Care Challenge
Workers' compensation medical services cover a wide range of specialties – from doctor's visits to diagnostic imaging, to pharmacy and physical rehabilitation – each area of medical care requires special handling in order to maximize cost efficiencies and promote a faster return to work.

Integrating specialty managed care programs, however, has historically presented severe workflow challenges for claims organizations and their managed care partners.

The MedRisk Solution: Managed Care Integration

Through technological innovation and claims efficiencies, CLAIMExpert® enables workers' compensation payers to easily connect to multiple specialty managed care organizations for superior medical management results and true end-to-end automated processing.

Pre-established connections to our growing list of Preferred Specialty Partners can increase your managed care options and medical cost savings without increasing operational work-loads or IT expenditures.

Our partner specialty-services include:

  • Pharmacy and DME
  • Diagnostic Imaging
  • Physical Medicine
  • Dental
  • Early Intervention
  • Case Management
  • Bill Review
  • Out-of-Network Fee Negotiation

For more information contact us at:

Sales and Marketing
MedRisk, Inc.
2701 Renaissance Blvd., Suite 200
PO Box 61570
King of Prussia, PA 19406
800-225-9675 Toll Free
610-768-5242 Fax