As an insurance company adjudicating automobile no-fault and workers’ compensation claims, it can often be challenging to keep your claimants’ experiences top of mind. Many claims can be complex and may involve catastrophic injuries that require more time from your adjusters or examiners. While these types of claims may come with additional administrative tasks, it is still crucial for your company to evaluate the claimant experience while claims are being adjudicated during the course of everyday business.
Your company may choose to evaluate your claimants’ experience internally. However, it can often be best for your company to partner with an objective provider. Northwood is an experienced durable medical equipment, prosthetics, orthotics and medical supplies (DMEPOS), pharmacy and ancillary service provider that works with insurance companies to administer workers’ comp and auto no-fault claims.
With over three decades of experience, Northwood has shaped processes and procedures to assist in evaluating and enhancing the claimant experience without disrupting your company’s operations. Northwood understands the importance of prioritizing the claimant experience while also holding down claim costs for your company.
For instance, one way Northwood balances these two priorities is by implementing pre-authorization on every auto no-fault and work comp claim. Before a physician prescribed service can be filled by a claimant, Northwood’s experienced team members review the service to ensure it is injury-related and appropriate for the claimant. These reviews help improve claimant outcomes while also eliminating non-injury-related payments to medical providers.
In addition, pre-authorization benefits claimants in a variety of ways. By ensuring the physician prescribed service is appropriate for that particular claimant, it greatly improves the outcome for the claimant. Beyond that, pre-authorization does not add additional delays to the claims adjudication process, which helps to streamline claims efficiency.
Furthermore, when a claimant chooses a provider within Northwood’s vast network, pre-authorization then eliminates the need for them to pay out of pocket for their physician prescribed service. In turn, that also eliminates reimbursement paperwork and the need to track receipts, which are common frustration points for many claimants.
Reimbursement paperwork and assuring injury relatedness can also pose significant administrative burdens on your examiners and adjusters. Pre-authorization eliminates those two tasks from their priority list, ensuring they have more time to dedicate to their assigned claims while providing an excellent claimant experience.
Partnering with Northwood as your company’s trusted DMEPOS, pharmacy and ancillary service provider, is an efficient way to evaluate and enhance your claimants’ experience while also ensuring your company holds down costs and improves efficiency. Please call Rosanne Brugnoni at 586-755-3830 ext. 3771 for additional details on how partnering with Northwood will benefit your insurance company as well as your claimants.
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