Claims Analysis

Download our Claims Analysis service sheet (pdf)

Through Paladin's Claims Analysis service, specialty physicians help claims examiners resolve persistent issues to move toward settlement of difficult or long-term claims.

After reviewing the file, Paladin physicians provide an in-depth summary of the medical services and costs involved in the claim, including pharmacy, radiology, forensics, and impairment ratings, along with a projection of future medical exposure. The analysis gives clients a solid platform for developing accurate forecasts of future costs and negotiating claim settlements.

Capabilities

• Complete claim analysis, including the prospect for patient improvement and recovery, direction of future treatment, and analysis of future medical exposure
• Written report of analysis results, including financial projections for future exposure
• Balanced advocacy of both client and patient
• Identification of potential fraud

Download our Claims Analysis service sheet (pdf)

 

Solutions

• Services
  • Medical Bill Review
  • Case Management
  • Rx Utilization Management
  • Physician On Call
  • Utilization Review
  • Claims Analysis
  • Medicare Set-Asides
• Results
• Case Studies
• Approach