Careworks.com
Medical bill review for workers' compensation
WebCareworks’ comprehensive end-to-end solutions include: A service bureau to simplify your in-house workflow. A virtual mailroom for bill intake/scanning. KFI/data entry. Fee schedule or usual and customary and rate application. A robust rules engine. Multiple levels of auditing. RN complex bill code review. PPO network optimization.
Actived: 6 days ago
URL: https://www.careworks.com/solutions/medical-bill-review/
Proprietary PPO network
WebBest coverage, best savings. Careworks’ vast network offers access to nationwide coverage, and customizable options focused on treating workplace injuries. Our proprietary national Preferred Provider Organization (PPO) was developed to serve the unique needs of the workers’ compensation industry. Our network provides access to over 800,000
Ancillary care network
Webancillary support. We connect injured employees to a wide array of services offered through our large ancillary care network. By providing high quality ancillary support, we make it easy to carry out employee treatment plans while controlling costs. Our care coordinators manage requests for a wide array of ancillary services including: Secure
Pharmacy management
WebBy putting the injured employee’s health and safety first, our pharmacy solutions balance quality care with cost control. Our expert clinical team offers pharmacy utilization review and medical marijuana review services. Key features of our solutions include: Aggressive management to address claims with dangerous medication issues. Prevention
Transitional work placement
WebCareworks’ transitional work placement program provides a creative solution with multiple benefits. The longer an injured employee is off work, the greater the likelihood he won’t return. Early intervention and return to work programs are essential to ensuring a positive outcome. When a physician releases an injured employee to modified
Network provider claims/invoice
WebNetwork provider claims/invoice. Business name (Required) Full name (Required) Email (Required) Enter Email Confirm Email. Billing address (Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country. Tax ID …
Ancillary provider resources
WebPlease use the below links to submit documents to our ancillary provider relations team. If you have questions or need assistance, please contact us at [email protected] or 866.888.6724. EFT request form. Letter of agreement. Contracts. Patient documents. W9. Claims/invoice. Certificate of insurance.
Utilization review
WebA workplace injury impacts an employee’s health, productivity and quality of life. Using evidence-based medical guidelines, our clinicians assess each situation from top to bottom to ensure care that’s medically necessary — and to get injured workers back to work sooner. Because we understand that waiting to learn if treatment will be
Workers Compensation Network Acknowledgement
WebI must go to my treating doctor for all health care for my injury. If I need a specialist, my treating doctor will refer me. If I need emergency care, I may go anywhere. The insurance carrier will pay the treating doctor and other network providers. I might have to pay the bill if I get health care from someone other than a network doctor
Important Information about Medical Care if you have a Work …
WebAssistance is available in English and in Spanish. The contact information for the Medical Access Assistant is: Toll Free Telephone Number: 1-800-544-8150. CareWorks Managed Care Services, Inc. - CareWorks MPN (2/2019) Fax Number: 1-888-620-6921 Email Address: [email protected] -or- [email protected].
California Utilization Review
WebFor information about the workers’ compensation claims process and your rights and obligations, go to www.dwc.ca.gov or contact an information and assistance (I&A) officer of the state Division of Workers’ Compensation. For recorded information and a list of offices, call toll-free 1-800-736-7401.
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