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Managed Care

Managed Care Services are an integral part of our efforts in controlling costs related to Workers’ Compensation claims.

Our services include:

  • Nurse Case Managers – Amerisure nurses triage all new lost-time claims, focusing on the management of appropriate treatment and enhanced communication between medical providers, external case managers, Amerisure Claim Specialists, the agent, policyholder and injured worker.
  • Pharmacy Benefits Manager – Injured workers receive a prescription card that provides immediate coverage information to pharmacies. This program also provides cost savings by helping to prevent payment for prescriptions not related to the claim.
  • Medical Bill Review – This ensures the proper adjustment of bills by eliminating inappropriate charges and bundled services that can increase medical costs.
  • Utilization Review – Assists Amerisure Claim Specialist to ensure that unnecessary or redundant medical treatments are not being performed.
  • Medical Provider Lookup - Offers access to medical provider contact information.
  • Additional Services include MRI network, Durable Medical Equipment program, Preferred Provider Organization (PPO)
  • Partnership with Optum.

Learn about the Amerisure Early Return to Work program for Workers’ Compensation cases.

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