Products and Services
Auto Injury Solutions offers customizable, end-to-end medical review solutions to clients wanting to maximize the insured’s benefits in accidents involving first and/or third-party injury coverages. We offer solutions that are not traditionally available from a single vendor.
The use of our integrated technology and outsourced product and services suite provides payers of property and casualty insurance claims access to decision engines, claims processing automation, and professional services that are appropriate for each state or jurisdiction that allows such services.
Auto Injury Solutions’ flow-through technology, coupled with our professional services, provides value to the insurance carrier by producing consistent and accurate results while eliminating the time and cost associated with coordinating multiple functions.
We are committed to providing your organization with the solutions to your medical automobile claim needs.
Product and Services Suite
Consulting
Customer Support
- Customer Service Center
- Dispute Handling
- Dispute Support
- Report Analytics
Document Management
- Inbound and Outbound Mailroom Services
- Imaging
- Index/Labeling
- Workflow
- Adjuster Decision Workflow and Online Adjudication
- Automated Letter Generation
Medical Advisory Solutions
- Independent Medical Exam (IME)
- Peer Review
- Radiology Review
- Physician Advisory Review (PHAD)
- Nurse Review: Telephonic Case Management (TCM) and Field Case Management (FCM)
- Hospital Audit
Medical Bill Review
- Automated Review
- Fee Schedule
- UCR
- Rules/Flags/Edits
- Duplicate Detection
- Code Review
- Utilization Review
- Preferred Provider Organization (PPO) Network Access
- Jurisdictional Management
- Out of Network Services
- Payment Issuance
New Jersey Auto Medical Solutions (AICRA)
- DPR/Pre-Certification Services
- Audit and Field Case Management
- Independent Medical Examination (IME)
- Physician Review and Determination (PHAD)
Third-Party Audit and Analysis
- Level One through Level Four Solutions
- Medical Bill Audit (automated bill review)
- Treatment Detail Report
- Treatment Calendar
- Professional Code Review with narrative
- Professional Nurse Review with narrative
- Physician Record Review with narrative