Managed Care

Managed Care is one of the principal means to contain the medical costs of a claim. Through the use of our extensive physician managed care network, we offer significant PPO savings. Our network includes general physicians as well as many specialists and hospitals. Steering claimants to in-network medical providers also allows us greater control over the medical management of a claim and ensures that credible medical providers are used. Clients can search for medical providers online to easily locate an in-network provider in a claimant’s area.

With the rising pharmaceutical costs, we are on a constant quest to minimize costs for prescription medications. Our pharmacy benefit network is affiliated with most major pharmacies and many local drugstores. Through this program, we obtain incomparable discounts on pharmaceutical costs. All medications are checked for medical necessity and causal relationship before being dispensed to avoid costly disputes after they are filled. Drugs are also checked for interaction with, age, gender, other medications or diseases. In addition, generics are given whenever possible to avoid the unnecessary cost of using brand name medication. The program also has many built-in flags to detect any potential prescription abuse. The combination of these procedures results in exponentially lower medical costs.

The pharmacy program is easy to follow. Claimants can easily locate a participating pharmacy in their area either online or by calling a toll free number. They receive a prescription card to present when filling the prescription and avoid paying any co-pays. When the card is presented to the pharmacist, the prescription is checked against the claimant’s file for compensability, and all causally related medications can be filled in a timely manner.

Dynamic Claim Services is also contracted with a major national network for diagnostic testing to allow for all radiological testing to be done at greatly discounted rates.