Services: Auto Case Management

Telephonic and Field Case Management

Active Care Auto offers on-site and telephonic case management services. A claim may be assigned as a task assignment or for ongoing medical management. Case management reduces the length of the claim by averting any unnecessary or unrelated medical care. In addition to the electronic file, adjusters are provided with an initial report and subsequent monthly reports through closure of case management services.

• Proactive experienced RN’s certified in case management (CCM)
• Additional auto claims management products available to incorporate a comprehensive package rather than outsourcing individual services (IME, Audit, Bill Review & Negotiation)
• Active Care will customize a program to meet our customers’ needs
• With adjuster authority, ability to utilize the Active Care Network providers for further discounts
• Real time access to electronic files
   

Services offered

• Contact by experienced RN within 24 hours to claimant, medical provider, adjuster and attorney (if applicable).
• Compliance with New Jersey Division of Banking and Insurance and the Auto Insurance Cost Reduction Act (AICRA)  mandates utilizing the NJ Care paths, Decision Point Reviews and Pre-certification standards
• Board Certified Medical Directors and Independent Examiners of every specialty and licensure.
• Nursing and clerical assistance with preparation of material to support and defend determinations made by Active Care Auto should a claim be filed for arbitration

Request an Auto Case Management Referral