Utilization Review Services with medical ReviewStream™
Review And Resolve Complex Claims
Expert medical Review Services for Workers’ Compensation
With so many new options for medical and utilization review services, it's important to be selective when choosing a medical peer review provider. Medical ReviewStream™ by Concentra can help you resolve complex or contested workers' compensation claims using board-certified physicians who offer a wide breadth of specialties. We provide pharmacy reviews, utilization reviews, complex chart reviews, Family Medical Leave Act (FMLA) reviews, disability reviews, ADA accommodation medical reviews, and claims adjudication services in a timely and cost-efficient manner.
How medical Review Services Can Support Your Business
Our medical review services not only help payors contain medical costs, but also streamline your utilization review process, provide the medical advisor coverage you need, and help you ensure compliance with the Utilization Review Accreditation Commission (URAC), the Health Insurance Portability and Accountability Act (HIPAA) and jurisdictional requirements. As an industry leader, Concentra’s knowledge, experience, and technology provides reliable evaluations for utilization reviews through an extensive panel of expert medical advisors.
Client Portal Login
Log on to the client portal to submit your referral or to:
- Check the status of submitted requests
- Access determination reports
- Search for already completed requests
The Medical ReviewStream™ Difference
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Accuracy
Every case is thoroughly evaluated by an experienced medical advisor and then subject to our quality management program.
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Timelines
To help you comply with state-mandated timeframes, our medical advisors focus on providing timely and accurate recommendations when you need them.
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Communication
We maintain a consistent, open line of communication with our clients' operational staff and are available to provide additional consultation.
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Reporting
Once all necessary information is collected, a detailed physician advisory report is created, citing appropriate, evidence-based criteria upon which recommendations are based.
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Technology
Medical ReviewStream™ implements electronic data interchange (EDI) interfaces, which can further streamline the utilization review process.
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Savings
Our panel of expert medical advisors manage your medical review needs in a cost effective and responsive manner --- saving you time and money.
To access your Concentra HUB account, you must log in. To set up a Concentra HUB account, please contact Concentra Customer Support at 1-844-305-8868. Customer support is available Monday through Friday, 7 a.m. – 6:30 p.m. Central Time.
Employees can access their patient records by calling the Concentra medical center where their visit occurred.
Join Our Physician Panel
Interested in joining the Medical ReviewStream™ by Concentra physician panel? Please fill out the following information. If we’re looking for a reviewer with your specific qualifications, we’ll contact you for more information and to discuss the next steps in the application process. Thank you for your interest!
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