At Bunch CareSolutions, we recognize the value of ensuring appropriate medical services are rendered to our clients' injured workers; therefore, we offer clinical peer review services as part of our utilization management program. Our clinical peer review unit, which is led by our full-time medical director, provides high quality physician advisor and peer review services to eliminate the unnecessary or inappropriate utilization of medical care and services.

Clinical peer review services are provided by direct contract physicians and network affiliates who undergo a stringent vetting process before becoming eligible to participate in our peer-to-peer program. Additionally, our URAC-accredited workers' compensation utilization management platform affords a single point of contact for case managers and claims adjusters requesting peer review services nationwide.

Features of our clinical peer review program include:

  • Staff medical director to oversee quality, service delivery and appeals process 
  • National access to URAC-accredited affiliates
  • Access to bill, claim and financial details on a single information system
  • Operational efficiencies to reduce potential inconsistencies among vendors
  • Direct agreements for a national provider database
  • Physicians who are work comp-savvy generalists and specialists
  • Increased efficiency through single platform delivery
  • Increased case closure rates through URAC-accredited networks
  • Decreased medical expenditures
  • Streamlined administrative process