First Report of Injury
Our First Report of Injury services make it easy for employers to report on-the-job injuries and initiate the workers’ compensation claims process.
PPO Networks/Panel Development
CHN PPO is a leading preferred provider organization based in northeastern United States with a premier, fully credentialed network of over 228,000 health care providers.
Nurse Case Management
Nurse Case Management serves as the communication bridge between all stakeholders: injured employees, treating providers, employers, and adjusters.
Lifetime Cost Projections
Medlogix’s Medical Management professionals perform an extensive file review to deliver a detailed Cost Projection Analysis that adjusters use as a tool to establish proper file reserves.
Medical Bill and Code Review
Bill Review optimizes the claims process and unlocks value across your program.
CPT Code Review ensures billings are properly coded.
Medical Bill Auditing
Medlogix’s team of highly credentialed Nurse Auditors perform extensive reviews of Provider and Facility bills to ensure all billed services are causally-related to the claim.
Bill Negotiations
Our skilled Negotiators reduce out-of-network medical expenses through expert negotiations, delivering significant cost savings for clients.
Independent Medical Exams (IME)
Our approach to cost management extends beyond the price per IME.
Peer Review
Medlogix utilizes credentialed specialists who are board certified in the same specialty as the requested medical review.
First Report of Injury
Our First Report of Injury services make it easy for employers to report on-the-job injuries and initiate the workers’ compensation claims process.
PPO Networks/Panel Development
CHN PPO is a leading preferred provider organization based in northeastern United States with a premier, fully credentialed network of over 228,000 health care providers.
Nurse Case Management
Nurse Case Management serves as the communication bridge between all stakeholders: injured employees, treating providers, employers, and adjusters.
Lifetime Cost Projections
Medlogix’s Medical Management professionals perform an extensive file review to deliver a detailed Cost Projection Analysis that adjusters use as a tool to establish proper file reserves.
Medical Bill and Code Review
Bill Review optimizes the claims process and unlocks value across your program.
CPT Code Review ensures billings are properly coded.
Medical Bill Auditing
Medlogix’s team of highly credentialed Nurse Auditors perform extensive reviews of Provider and Facility bills to ensure all billed services are causally-related to the claim.
Bill Negotiations
Our skilled Negotiators reduce out-of-network medical expenses through expert negotiations, delivering significant cost savings for clients.
Independent Medical Exams (IME)
Our approach to cost management extends beyond the price per IME.
Peer Review
Medlogix utilizes credentialed specialists who are board certified in the same specialty as the requested medical review.
Our proactive approach to managing work-related injuries helps control medical and indemnity costs.
As your dedicated medical claims management and managed care partner, Medlogix ensures seamless navigation through each case, guiding it towards optimal Maximum Medical Improvement and Return to Work outcomes.
From the moment of injury through the completion of treatment, our experienced case managers provide timely and necessary care, available 24/7, 365 days a year.
“Medlogix has tried and true systems. Seamless integration including required data interchanges with other vendors.”
PPO Executive
Our customizable, web-based MyMedlogix platform provides real-time access to claims management.
As with our Auto Liability services, our Workers’ Compensation services are powered by our proprietary, web-based case management and bill review MyMedlogix software. It features a customizable, user-friendly platform and real-time access for ongoing management of claims. By streamlining claims management, MyMedlogix avoids third-party delays.
- Receive automatic alerts and customized reporting down to the individual adjuster level.
- Track progress on nurse case management, case status, provider billing, and Return to Work status.
- Users receive individual secure logins so adjusters and case managers have access to all file activity in real-time.
Our Integrated Workers Compensation Services
- The CHN PPO network includes specialists in workplace injury treatment across multiple facility types (hospitals, rehab centers, chiropractors, etc.).
- Tailored state-by-state network configurations are based on real Workers' Comp utilization and analytics.
- The direct provider relationships of our CHN PPO network improve speed, outcomes, and documentation for Workers’ Comp claims.
- In-house PPO Rate Application Team applies contracted rates using State Fee Schedules and Usual, Customary, and Reasonable (UCR) charges
- Out-of-network Workers’ Comp claims meeting negotiation criteria are routed to bill negotiators for savings with result in signed Letters of Acceptance (LOAs).