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Medical Management
Overview
Medical Bill Review
Preferred Provider Network
Pharmacy Management
Utilization Management
Physician Review Services
Senior Nurse Reviewer
Telephonic Case Management
Field Case Management

Medical Management

Broadspire’s case managers proactively manage medical treatment while facilitating understanding of, and participation in, the rehabilitation process. These programs aim to help employees recover as quickly as possible in the most cost-effective method.

Medical Management At-A-Glance

  • Over 200 field nurses and vocational experts and more than 80 telephonic nurses
  • Compassionate, professional team with extensive experience and credentials
  • Access to the most current information about treatment, healthcare and rehabilitative techniques
  • Proactive management that focuses on abilities and results
  • System integration with claim adjusters
  • On-site physician advisors and on-line medical resources
  • Flexible program offerings
  • AAHCC/URAC accreditation for quality

Medical Management Services

Service Overview
Medical Bill Review Evaluation of surgical, medical, hospital and pharmacy bills to help eliminate unwarranted charges.
Preferred Provider Network A national network of qualified physicians to help employees return to work.
Pharmacy Management A nationwide prescription program with first script fill, non-formulary review and drug utilization monitoring with automatic referral of outliers.
Utilization Management Advisors help claim technicians successfully manage medical aspects of claims.
Medical Department and Physician Review Services Medical team clinical and analytical expertise to support case management programs.
Senior Nurse Reviewer Helps disabled workers receive proper attention for a speedy recovery.
Telephonic Case Management Support and quality assurance from medical resource consultants.
Field Case Management Customized packages for planning, evaluation, management and rehabilitation services.


Our goal is to facilitate appropriate treatment and promote cost-effective solutions. Contact Us.
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