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OUR CUSTOMERS

Our accredited review services are utilized by a variety of customer types.  

Managed Care

Third-party Administrators

Self-insured

Non-subscribers

Medicare Set Aside

Auto / Liability Coverage

Legal Firms

Federal Agencies

CUSTOMIZED ENGAGEMENTS
 
REVIEWS, REPORTS & COMMUNICATIONS

Our goal is to provide a seamless and effective engagement with all of our customers.  This means we'll work to support business needs in any way possible.  Whether it be combining multiple services into a single review, utilizing custom report templates, or monitoring and accessing all data in real-time through our Customer Portal, we work to determine the best engagement for our customer's goals.

SOME EXAMPLES OF CUSTOMER-SPECIFIC APPROACHES

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SELF-INSURED

UR Partner is able to support Self-Insured programs whether internally conducting the full administration, or utilizing a TPA to administer parts of the program.  We're well-versed in supporting a full set of services including Medical Record Reviews, Specialty Bill Reviews, Document Preparation and Chronology, etc.  Or, if only a subset of services are needed, we can accommodate on an as-needed basis.

LEGAL DEFENSE FIRMS

Our Clinical Peer Reviews add value to any situation or case related to injury claims. Our service offerings are particularly effective in litigated or potential litigious claims, and the applicability of clinical expertise in the management of legal cases is wide-ranging.

Specifically for carrier defense work and injury claims, Medical Record Reviews can be employed to address causation, extent of liability and reasonable, and necessary treatment.  In some cases, medical bill analysis and fair and reasonable reimbursement information is necessary; UR Partner provides this service (alone or coupled with peer reviews in a combined report).

MEDICARE SET ASIDE

UR Partner can conduct preliminary level or complete reviews in support of the Medicare Set Aside process.  Variations of these reviews may include Medical Necessity and/or Drug Regimen based on evidence-based guidelines and best practices, as well as detailed Specialty Medical Bill Review / Re-pricing to identify the specific, applicable costs associated with a settlement. 

Typical Services

Medical Record Peer Review

Initial Compensability Evaluation

Impairment Rating

Radiology Reviews

Toxicology Reviews

Drug Regimen

Medical Necessity

Designated Doctor Determination

Medical Records Sort / Summary

Preauthorization

Physician-Only UR

Specialty Bill Review

Typical Services

Medical Record Peer Review

Initial Records Assessment
Medical Bill Review / Audit (MBR)
MBR / Peer Combination
Medical Records Sort / Summary
Deposition - Billing Expert
Deposition - Clinical Expert
Testimony In-Person - Billing Expert
Testimony In-Person - Clinical Expert

Document Prep / Chronology Reviews

Cost Projection

Typical Services

Medical Record Peer Review

Drug Regimen

Medical Necessity

Medical Bill Review / Audit (MBR)

MBR / Peer Combination

Medical Records Sort / Summary

Cost Projection