Value Added Services

A Total Approach

With a multi-disciplinary approach, Allied Managed Care’s professional teams focus on every aspect of managed care to produce the best quality outcomes with the highest dollar savings. The key components of our results-driven, full service managed care program work together for total success: Medical Case Management, Medical Bill Review, Medical Provider Network (MPN)/Preferred Provider Organizations (PPOs), and Utilization Review.

Although each key service can be utilized as needed, our clients enjoy the distinct advantage of a completely integrated Allied Managed Care program. Our products and services work together seamlessly to capture all savings opportunities embedded in insurance claims, and they are linked electronically for optimal communication.

Our clients realize the highest savings achievable in the industry due to our specially trained experts, web-based state-of-the art software, electronic data interface, comprehensive customizable reporting capabilities, rapid turn-around time, multiple PPO networks, and nationwide service.

Medical Dollar Savings

Allied Managed Care’s comprehensive programs seize all opportunities for cost savings by utilizing prospective, concurrent, and retrospective services that set us apart from the ordinary managed care provider. Prospectively and concurrently, our medical experts analyze insurance claims and implement strategies to improve the efficiency and effectiveness of medical treatment for injured workers, resulting in fewer medical dollars spent and optimum medical outcomes for patients. Retrospectively, our experts ensure that medical bills:

• Are appropriately coded and reflect the actual fee for medical care provided

• Are in accordance with the Official Medical Fee Schedule (OMFS)

• Take advantage of pre-negotiated PPO discounts for additional savings even below Fee Schedule allowances

Lower Indemnity Payouts

Allied Managed Care’s programs facilitate quick and safe return to work, resulting in lower indemnity payouts. Our licensed nurses coordinate physicians’ work restrictions, employees’ capabilities, and employers’ opportunities for safe and productive modified duty. Ongoing evaluations ensure that every patient’s work abilities and medical improvement are maximized, allowing for successful return to work programs that reduce indemnity costs substantially.

Linking our comprehensive products electronically to each other and to our clients’ claims data systems provides “real time” information, available to everyone involved in the claims administration process. As a result, timely and well-informed decisions swiftly advance claims toward resolution. When all components of our managed care program are utilized concurrently, clients achieve unbeatable results!

Copyright © 2002 Allied Managed Care Incorporated. All rights reserved.
80 South Lake Avenue, Suite 500 ~ Pasadena, CA 91101 ~  (800) 431-6336 ~ (626) 441-3999 ~ Fax (626) 441-3799