Settlement Demand Package Reviews
When it comes time for litigation and settlement negotiations, you need a comprehensive view of the necessity of treatments and associated costs throughout the claim to give you an informed positon for negotiations. You want to rely on experienced medical experts to determine causation, medical necessity and utilization so you can responsibly negotiate from an informed position backed by medical expert review.
Genex’s Settlement Demand Package Reviews provide auto and liability customers and attorneys with an independent, objective and medically reliable summary of the claimant’s clinical history, treatments and outcomes to assist you with litigation and settlement of liability exposures.
How it works
When you request a Settlement Demand Package Review either a nurse and/or expert physician advisor with an appropriate specialty for the injury will review all of the medical records and bills for the claim. You will receive a comprehensive summary of the medical records reviewed as well as complete answers to any questions you may have concerning medical care. Our expert answers are based on evidence-based guidelines to determine appropriateness in a fair and comprehensive manner. If requested, we will provide an audit of the bills to determine what was and was not medically appropriate. We can also provide an audit according to what is usual and customary in the local geographic location of where it was performed.
- Nurse case manager review
- Expert physician advisor review
- Bill audit
Reviews arm you with what is medically necessary including:
- Causation of injury
- Medical necessity and reasonableness of treatment
- Pre-existing conditions
- Identification of excessive treatments
- Necessity of future treatment