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The first days of a claim are critical
in that the decisions made can greatly effect the course
and outcome. Early referral will reveal claims needing
Utilization Management to achieve Early Intervention.
The process of making well informed claims decisions
and implementing them can be greatly enhanced through
early assessment of and intervention (if necessary)
in the medical care provided. Potential problems or
barriers can be mitigated early and a positive employer/employee
relationship can be fostered. The use of professionally
developed and defensible treatment criteria (ACOEM and
Milliman Care Guidelines) allows us to optimize delivery
of reasonable and necessary care.
Excel’s Reviewers, Medical Director
and Specialty Physician Reviewers (Acupuncturist, Anesthesiologist,
Cardiologist, Chiropractor, Dentist, Otolaryngologist,
General Practice, General Surgeon, Internist, Neurologist,
Neurosurgeon, Occupational Medicine, Ophthalmologist,
Orthopedic Surgeon , Osteopath, Physical Medicine &
Rehabilitation, Physical Therapy, Plastic Surgeon, Podiatrist,
Psychiatrist , Psychologist, Pulmonary Medicine, Thoracic
Surgeon ) are the backbone of this service. Excel will
provide a comprehensive, quality driven utilization
management tool to your claims organization. Our network
of Physician Reviewers comes from a URAC Independent
Review Organization.
Thorough, accurate, objective, and credible reports are the hallmarks of our evaluation services. Coupled with quick scheduling and timely report production, you can count on Excel to provide the very best service available. We will also take care of any necessary interpretation and transportation arrangements.
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