DEMAND PACKAGE REVIEW
Turn Disorganized Demands Into Fair Settlements
Plaintiff attorney demands often arrive disorganized, with incomplete documents and inflated medical charges, forcing claim handlers to spend hours sorting through records or rely on costly outside reviews that delay resolution. Enlyte’s Demand Package Review solution turns complex submissions into easy-to-read, actionable reports, helping you reach fair settlements while controlling expenses.
Schedule a DemoReduce Rising Medical Costs While Strengthening Your Negotiation Strategy
Medical and social inflation are driving a high volume of excessive, unstructured demands with strict timelines. Without a clear view of medical charges and injury details, your team risks overpayment and inconsistent settlements. Demand Package Review delivers precise charge analysis and relevant injury insights to help you identify reasonable costs and negotiate faster, more accurate settlements, whether used on its own or as part of an integrated, end-to-end solution.
Key Metrics
60%
Average Reduction in Medical Charges
66%
Claim Handler Time Reclaimed to Focus on Negotiation Strategy
45%
Improvement in Average Settlement Amounts
3 Day
Average Turnaround Time
Demand Package Review Services
Choose the level of review that matches claim complexity across bodily injury, general liability and commercial claims.
Enhanced Bill Review
Best for low to moderate demands.
- Organizes demand packages into a clear, chronological format
- Captures bill data with analyst edits
- Configures review protocol to your standards
- Removes duplicate or unnecessary billing
- Identifies and corrects non-standard bills other solutions miss
- Provides accurate bill-level coding
- Surfaces costs, severity, and treatment duration against industry data
- Delivers a bodily injury summary report
- Integrates with Medical Records Summarization (optional)
Nurse Review Service
Recommended for complex claims, high bill charges, or cases that need deeper clinical analysis. Includes all enhanced bill review solutions plus:
- Evaluates causation and treatment relevance
- Identifies pre-existing injuries and conditions
- Compares treatment to clinical guidelines
- Summarizes accident and injured person demographics
- Reviews first responder and emergency room treatment
- Overviews provider-specific treatment patterns
- Highlights nurse-identified “red flags”
- Delivers utilization review analysis
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What You Gain
Control Claim Costs
- Reduce inflated medical costs
- Prevent escalating costs before they impact reserves
- Lower loss adjustment expenses (LAE)
- Minimize reliance on costly outside legal and nurse review services
Reclaim Valuable Time
- Turn complex demands into easy-to-digest reports
- Attain full visibility and control over the review process
- Eliminate manual review bottlenecks to boost team productivity
- Shift time from organizing demands to driving claim resolution
Strengthen Negotiations
- Support negotiations with credible insights into injuries, treatment, and medical charges
- Spot severity spikes and treatment patterns earlier with industry benchmarks
- Equip claim handlers with a top-down negotiation strategy
- Achieve faster, more accurate settlements
How It Works
Demand Package Review Insights
See Demand Package Review in Action
Experience how Enlyte’s Demand Package Review converts disorganized, inflated demand packages into structured, actionable reports. Book a demo to give your team the insights needed to challenge excessive charges, strengthen negotiations and achieve faster, more accurate settlements.
Frequently Asked Questions About Demand Package Review
What is demand package review and how does it work?
Demand package review turns disorganized demand submissions into clear, actionable reports by capturing, organizing and indexing key records, medical bills and supporting documents. It also analyzes medical charges and injury details to help your team identify reasonable charges and prepare stronger settlement negotiations.
Who should use demand package review for their claims operations?
Carriers, TPAs, and employers managing bodily injury claims across personal auto, commercial auto and general liability can benefit from demand package review. It is especially useful for teams handling complex or high-volume demands under tight timelines.
Why outsource the review of your plaintiff attorney demand package to Enlyte?
Instead of using valuable claim handler time to decipher disorganized, complex demand packages, demand package review delivers a structured, accurate assessment of medical charges and injury details through advanced bill analysis and clinical expertise. This gives claim handlers more time to focus on negotiation strategy and claim resolution while reducing allocated loss adjustment expenses, saving up to $30,000 per 100 demands.
What is the turnaround time for demand package review?
Enhanced bill review delivers results in as little as three to four days, while nurse review takes approximately 10 days, depending on claim complexity and volume.
How is the demand submitted for review?
Demand submission is flexible to meet your business needs. Best practices include direct file transfer and service requests through integration points such as APIs or sFTP. Alternatively, a no-IT workflow can be set up using Enlyte’s Adjuster Workspace, allowing secure file upload through a web portal.
What best practices do you recommend to ensure claim handler adoption?
Successful adoption starts with initial training on how to use the solution and utilize the demand package review results. While no IT integration is required, the most successful programs prioritize key integrations revolving around the claim handler’s experience. At a minimum, we recommend integrating a claim system feed, routing demand packages directly to Enlyte, and establishing a process to intake completed reports with status updates and notifications to claim handlers.