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Workers' Compensation Claims Management Loss Control Fraud Prevention Managed Care Services Care Management Utilization Review Provider Locator Pharmacy Benefits Pharmacy Network Bill Review Provider Forms Return to Work EACCESS^®

Managed Care Services *

EMPLOYERS^® Managed Care Services has developed a true cooperation and partnership with healthcare providers, expert physician advisors, nurses, and other experienced care management staff. These relationships allow Managed Care Services to promote quality patient care while also helping minimize the downtime and costs associated with servicing a work-related injury or occupational disease.

Our philosophy dictates that it is a vital component of a successful care management program to provide a staff with the medical expertise necessary to collaborate with healthcare providers and ensure that appropriate medical decisions are made by medical professionals.

EMPLOYERS’ Managed Care Services may Include:

• Medical Care Management by healthcare professionals
• Utilization Review, including dispute (appeal) review
• Medical Director/Physician Advisor consultation
• Provider Network Development and Management
• Pharmacy Benefit Management
• Medical Bill Review and Repricing

EMPLOYERS’ integrated approach to containing workers' compensation medical costs fosters quality-driven solutions and cost-appropriate care for injured employees. Our Managed Care Services are distinguished by their emphasis on collaboration and partnership with medical professionals committed to effective management of workers' compensation medical services.

* Not all Services available in all states

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