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Clinical Services that Deliver Results

No two claims or insurance operations are exactly the same. That’s why we design configurable and comprehensive insurance support solutions that streamline the claims process and eliminate the burden and expense of using multiple vendors.

Our solutions can be bundled or used individually — allowing you to select and deploy the right combination of our products to meet the unique demands of your business. Choose ISG and you’ll always have the right tools to provide the best service.

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Comprehensive Professional Review Services

ISG nurses manage treatment requests and file reviews:

  • Administer NJ Decision Point Review programs
  • Facilitate contact with treating providers
  • Provide treatment assessments

ISG nurses help you understand the injuries and treatment in question as well as prepare a file review or physician referral:

  • Bill review
  • Physician Advisor Determination (PHAD) Nurse
  • Ask the Nurse (medical necessity, relatedness, appropriateness of charges)

We help ensure services, procedures, and medications are administered and billed appropriately:

  • Provider/Hospital audits
  • Desk audits

Physicians are Board-certified, credentialed, and cover all specialities:

  • Physician Advisor
  • Peer Review
  • Independent Medical Exam (IME)

With the number of injury codes dramatically increasing, our certified professional coders will review the appropriateness of the billed procedures based upon AMA guidelines.

Utilization Review certificates on file in states with DOI requirements.

We’re here to answer billing inquiries, investigate issues, and support insurers in resolving disputes:

  • Provide written review of the case
  • Assemble appropriate documentation
  • Make recommendations for resolution
"Thank you for the great service you provided on this case."
Adjuster
Adjuster Carrier
"The ISG nurses are always a pleasure to work with—responsive and dependable. They make complex information easy to understand."
Claim Specialist
Claim Specialist Carrier
"The attention to detail and professionalism your nurses bring to every case makes a huge difference in our decision-making."
Claims Director
Claims Director Carrier

Ready to Strengthen Your Clinical Review Process?

Contact us today to learn how our Clinical Services team can support your organization with expert treatment reviews, bill and file evaluations, and clinical oversight that improves care quality, drives efficiency, and ensures compliance.

Connect with ISG Today
Call: 1.800.278.0550
Email: customerservice@isgvalue.com

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Join Our Expert Clinical Team

Are you a licensed nurse looking to advance your career in a dynamic, solutions-driven environment? ISG offers exceptional opportunities for growth within our nationwide Clinical Services team.

Our nurses play a vital role in our organization, supporting key functions such as handling treatment requests and conducting bill and file reviews. These positions contribute directly to the quality, accuracy, and efficiency of our clinical operations. Check out our careers page or send your resume to isgcareers@isgvalue.com.

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