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In
the management of worker's compensation claims, Procura offers a
program known as Day One. Our early intervention injury management
program begins by determining our client's needs. We review loss runs,
current operational methods, and identify what our clients experience
has been. With that information we are then able to create a
customized program to provide solutions that work.
The Features and Benefits of the Program Include:
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Experienced RNs work diligently to establish claimant advocacy and
channel injured workers to accessible network providers.
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Treatment is managed proactively in accordance with protocol based
guidelines designed to promote recovery and eliminate unnecessary costs.
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Work status is addressed by the physician at the time of injury to secure
a prompt return to work.
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Provider Panel Development: Medical claims are reviewed by ICD 9 and cost
to coordinate the most appropriate network providers to meet specific injury
patterns. Geographic coverage needs are determined and panels are developed
within statutory regulations implemented when indicated.
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Employer installation: Procura will perform employer installs to gain
further insight into the present operations and identify roles and
responsibility for the program. Clear and effective communication is the key to
a successful managed care program. Panel development and workflows are clearly
outlined with timelines making expectations clear and measurable.
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First Report of Injury: Dedicated, seasoned representatives provide quick
response time with accurate data integrity. Immediate channeling to network
providers affords optimum care and savings.
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| © 2004 Procura Management Incorporated. All Rights Reserved. |