Solutions For Specialty Managed Care Organizations

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.

Today, more and more workers' compensation payers are recognizing the benefits of specialty programs.

Integrating specialty managed care programs, however, has historically presented severe workflow challenges for both the claims organization and the specialty vendor.

A seamless solution for carve-out workflow challenges.
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.

MedRisk's pre-established connections to a growing list of Preferred Specialty Partners (PSPs) allows both the payer and the specialty vendor to implement specialty managed care options seamlessly without the burden of cumbersome "carve-out" workflows or additional IT programming costs.

By joining MedRisk's PSP program, you can enjoy the advantages of being able to offer payers a seamless, easy-to-implement workflow-solution to the integration of your specialty managed care programs, as well as the benefits of increased visibility to MedRisk CLAIMExpert® clients and the marketplace.

Our partner specialty-services include:

  1. Pharmacy and DME
  2. Diagnostic Imaging
  3. Physical Medicine
  4. Dental
  5. Early Intervention
  6. Case Management
  7. Bill Review
  8. Out-of-Network Fee Negotiation
  9. Transportation

For more information about joining our program contact:

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