Insurance Companies

Gain unbiased expert assessments that enhance claims accuracy and streamline decision-making.

Claims Can Be Challenging 

Our independent review services can help sort issues, making determinations about causation, severity, and future treatment.

As Canada's top provider of IME services for Insurance Companies, we understand your needs:

  • Rapid scheduling and reporting to expedite claims processing.
  • Comprehensive, clear reports that aid in decision-making.
  • Access to specialists in various medical fields and geographical locations.
  • Customized services to meet specific insurance company requirements.
  • Assistance with complex or contentious cases.
  • Support in fraud detection and prevention.
  • Coordination of multiple services (e.g., IMEs, record reviews, peer reviews) under one provider.
  • Potential cost savings through efficient processes and accurate assessments.
  • Risk mitigation through thorough, defensible medical evaluations.
  • Improved customer satisfaction through prompt, fair claim resolutions.
 
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Insurance Companies Services Overview

  • IME

    IME / Virtual IME

    IMEs are thorough exams and reviews of a claimant's medical records by Direct IME. We assign a physician with the needed specialty to evaluate the claim. The physician uses specific questions and evidence-based medicine. Quality-assured reports are available for download or via the client's preferred delivery method.

     

  • medical file review

    Medical File Review

    From a comprehensive medical file review to the management of catastrophic claims, Direct IME has the ability to get answers to all the issues associated with complex medical issues and Future Care Cost Analysis.

     

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    Expert Testimony

    Credentialed medical-legal assessors have specialized experience in the legal realm in addition to their medical expertise. Litigation and court room experience provides complex and often nuanced medical evidence inform the outcomes of these cases.
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    Catastrophic Claims

    Direct IME has a deep knowledge base associated with catastrophic claims which have a longer time horizon and typically require a battery of different assessment types. Whether an initial determination needs to be made or Future Care Cost Analysis is required, our medical-legal experts provide the needed guidance.

Our Process

 

An invoice is sent to the client, and our team addresses any post-exam queries, gathers feedback, files documentation, and marks the case as completed.

The specialist prepares a detailed IME report, reviewed for completeness and clarity, then securely delivered to the client. Follow-up questions are addressed.
The specialist conducts the IME, including physical examination, medical history review, and specific tests as needed.

The company submits a referral and our intake team reviews the details and matches the case with an appropriate specialist based on expertise, location, and availability.

We'll coordinate the appointment with the specialist and notify the claimant/examinee of the appointment details.

Our team organizes the relevant medical records and prepares necessary forms and questionnaires.

Direct IME’s Web Portal is secure, easy to use and made for you. Streamline your IME process saving you time so that you can focus on what you do best. Increase your efficiency, reduce turnaround times, stay better informed, and paperless; all without compromising security.

  • Real-time scheduling & assessors’ availability
  • Transparent IME report & Invoice tracking
  • Easy Access to assessor’s CVs, DIME roster & reports
  • Upload Medical records securely.
  • Streamlined communication & Reduced errors.
  • Cost-effective & secure online management




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