Workers' Comp
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Coventry Workers' Compensation Network
Coventry offers an integrated continuum of cost containment services for workers’ comp payors including:
- 24x7 Nurse Triage (NT24) to provide pre-claim level of care counseling, health information and network direction for your employees
- Dedicated clinical resources to triage claims for intervention leveraging experience and Global inSight® risk modeling
- Dedicated telephonic case managers and injury coordinators to manage the utilization and return-to-work needs of your injured workers
- Medical bill review services to ensure appropriate unit cost and utilization decisions
- Network solutions that manage your total spend (medical, pharmacy, physical medicine, DME, home health, diagnostics)
- Outcome-based networks that enable you to recognize and access providers who consistently demonstrate practice patterns that deliver the best patient and claim outcomes
- Pharmacy Benefit Management (PBM) that manages pharmacy spend and appropriate utilization with in-house pharmacists who provide education and support to providers and case managers with challenging narcotic/opioid issues
- National network of field-based case managers who become involved when a face-to-face clinician is of benefit
- An integrated data warehouse that aggregates all data at a claim level to enable daily risk modeling throughout the life of each claim
