The Intelligent Insurance Solution

Utilization Review

Utilization review is a managed care program to determine the medically necessity and appropriateness of treatment for an injury. Under our utilization review program, the medical treatments involving physical therapy, chiropractic care, interventional pain procedures and any type of surgical intervention are reviewed by the Trust’s clinical team to ensure that the best treatment practices are recommended to promote quality medical care for the injured worker. This service, coupled with the Trust’s preferred provider network, manages costs without compromising the quality of care. Resources under the Trust’s utilization review program include:

  • Medical Director and physician consultants
  • Experienced nurses
  • Medical policies and guidelines
  • Access to national evidence based medical outcome data
  • Preferred provider agreements
  • Preferred vendor agreements