Claims Management / Protocol

Comprehensive Risk Management takes a proactive approach to claims management. This approach results in effective cost containment by achieving appropriate claim resolution in the shortest time possible.

Medical Cost Containment

Effective medical cost containment includes scrutiny by the claims administrator to ensure that services are reasonable and necessary and consistent with the conditions allowed under the claim. It is not unusual for L&I claims to experience “condition creep” in which attending providers expand treatment for conditions not causally related to the industrial injury’s mechanism of injury.