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Claim Evaluation

Claim Summary & Claim Evaluation Tool

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Features Record Review Record Review Report Claim Evaluation
Case Overview
Chronological List of Pertinent Events
Pertinent Missing Records/Providers List
Provider List with Bill Compilation with Total vs. Paid  
Current Medical Treatment and Prognosis  
Claim Assessment
(Strengths and Challenges)
 
Medical Bill Overview  
Potential Future Medical Care  
Future Care Costing  
Evaluation Conclusion  
Records Required Medical Records Medical & Billing Records

What Is A Claim Evaluation

A Claim Evaluation is an intelligent and comprehensive report that provides a functional road map to the most productive defense strategy and a clear breakdown of the facts you need for effective negotiation, expediting settlement and reducing indemnity.

Claim Evaluation Is Also

  • Your blueprint for an actionable defense
  • A tool to utilize when demand packets are sent
  • Identifies facts in the records needed to design the most effective case strategy
  • Ensures records hold no surprises for the case by reading between the lines for inconsistencies in the medical history, or missing information
  • Spend less time planning and more time moving towards resolution