Software for workers' compensation nurse case management

Referrals from adjusters

Adjusters and claims staff get free logins to the referral portal, send new referrals online and follow their status. Referrals that arrive by phone, fax or email are added by your staff, so every one is tracked.

The claim on every patient

• Claim number, claim status (such as Open, Investigation, Litigation or Denied) and date of injury on the patient file.
• Adjusters and insurance companies saved once in your contact lists, then picked instead of retyped.
• Insurance and claim details for the CMS-1500 in one form.
• ICD-10 diagnosis codes, allergies and medications on the Medical tab.
• Doctors and other providers treating the patient, with their contact details.

Reports the adjuster expects

Record intake, follow-up and discharge assessments, keep a care plan with goals and tasks, and write weekly progress notes. Monthly and progress report forms start from last month's with + New.

Email a patient's files to the adjuster from any of their folders; every email is listed in the Email Send Log.

Bill the claim

Nurses log each visit or call with its hours and miles. Billable time goes into a batch with its CMS-1500 claims; record each payment with its EOB, and denied claims stay in what's outstanding until they're resolved.