DEMAND PACKAGE REVIEW

Improve Settlement Accuracy

Enhance settlement accuracy for bodily injury, general liability and commercial claims by equipping decision-makers with a comprehensive and precise accounting of medical charges, relevant injury insights, and a strategy to negotiate fair and timely settlements.

Elevating the Precision of Bodily Injury Claims Settlement

Medical and social inflation has led to excessive, unstructured demands, submitted at high velocity with attorneys often attaching time limits. A lack of understanding regarding the contents of these demand packages and what a carrier truly owes can lead to consistent overpayment in settling bodily injury claims. Our innovative Demand Package Review solution enhances the accuracy of settlements, offering adjusters increased leverage when negotiating with attorneys.

Key Metrics

Demands Processed Annually

3.5M

Bills Processed Annually

53%

Average Adjustments to Billed Medical Charges

3 Days

Average Turnaround Time

Demand Packaging Processing and Management Solutions

Our solution includes two core services to address varying complexities across all claim types.

Enhanced Bill Review

Enhanced bill review will the right service level for the majority of claims providing:

A full accounting of medical charges
Removal of duplicate billing
Identification and a full bill review evaluation including non-standard bill types
Sorting and organization of the demand package
Compilation of a full bodily injury report for the adjuster detailing key findings and recommended settlement amounts supported by bill and code review

Nurse Review

Ideal for complex claims or those with high bill charges, nurse review includes all the services in enhanced bill review, and also includes:

Insights into causation
Identification of pre-existing injuries
Comparison of treatment against guidelines determining what is reasonable and necessary

Industry Trends and Insights

Get the latest insights and industry updates you need to know.

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In this quarter’s Enlyte Executive Insight, Michele Hibbert, senior vice president of regulatory compliance management, discusses the latest results from Enlyte’s medical price index and how it impacts the industry.