Certified by the Utilization Review & Accreditation Commission (URAC), MedInsights’ utilization management services help clients administer workers’ compensation programs more effectively. MedInsights achieved a 100 percent compliance score on its most recent URAC audit.

MedInsights’ utilization management nurses and client service professionals:

• Utilize recognized, evidenced-based state and national guidelines in making treatment determinations (e.g. Official Disability Guidelines, Presley Reed, American College of Occupational Environmental Medicine);

• Follow state-specific workers’ compensation rules for utilization and access to medical care and specialists;

• Comply with state-specific reporting requirements;

• Coordinate with physicians to provide consultations and peer reviews;

• Negotiate optimal treatment program to expedite timely and appropriate return-to-work opportunities.

To request more information, please click here.

Return to MedInsights Home Page