Manages medical aspects of claims in conjunction with ensuring injured workers are provided with timely and appropriate medical care. Over-utilization of medical treatment is a driving factor in the overall cost of a Workers’ Compensation claim. SFUR, through the use of licensed nurses, board certified physicians and application of data driven evidence-based guidelines, addresses costs through a proactive approach.
Physician Peer Review
An evidence-based review performed by an appropriately licensed medical professional to determine medical necessity of a proposed treatment or treatment that has already been provided.
Pre Certification/Pre Authorization
A proactive process that can be used in the medical management of a workers’ compensation claim. This review type provides an evidence-based opinion of medical necessity for a proposed treatment based on submitted medical documentation and evidence-based treatment guidelines.