Majoris® is the Industry leader in the Workers’ Compensation arena. Our Executive team is comprised of experienced workers’ compensation experts with years of knowledge of the Workers’ Compensation Industry. Our overriding goal is to mitigate unnecessary costs by ensuring that the appropriate care is provided in a timely manner, thus improving outcomes. We achieve this goal by providing managed care services utilizing a peer review process. Our services are reviewed by Board Certified Physicians, not nurses, like most of our competitors. Claims are assigned to Medical Service Coordinators who are available to facilitate treatment and answer questions for patients, providers and claims examiners.
Managed Care Services includes:
Claims Administration
- Utilization Review
- Case Management
- Assistance to select a treating physician
- Scheduling initial visits or consultations timely records follow-up
- Regular communications with Claims Examiners
- Partners with Provider Relations for network management & provider education
- Follow-up on physical capacity updates
Medical Review & Oversight
- Fellowship trained, board certified Physician Reviewers
- Interpretation of national, evidence-based guidelines
- Treatment review & prior authorization
- Identification of problematic or stalled treatment; work with providers and claims examiners to implement treatment strategies
- Impairment rating review
- Opioid treatment review
- Dispute resolution