Successfully resolving claims and delivering quality health and financial outcomes

ISG offers a world-class national medical management program. As a URAC accredited company, we collaborate with over 16,000 trusted medical providers to manage appropriate care and costs.

Our Medical and Clinical Services programs are designed to work with our partners needs. We offer a systematic process to promote medically appropriate care in a timely, efficient manner to improve claim outcomes.

VALUE ADDED PROGRAM FEATURES:

  • Customizable protocols and processes – integrated technology
  • Dedicated Quality Assurance clinical team – driving high quality reports
  • Expedient turn around times in scheduling and completing reports
  • Management of prepayment processes, when necessary
  • Unique confirmation and reminder communications – Text reminders
  • Coordination of transportation and translation services
  • Integrative IME no-show program with Social Intelligence
  • Facility Clinic Inspections and COVID compliance

Proprietary National Network of Credentialed, Board-Certified, Quality-Focused Providers:

  • Fully vetted and credentialed physicians directly contracted with ISG
  • Clinical team oversight driving best in class quality and outcomes
Network Infographic

Medical Management Services

  • Independent Medical Evaluations (IME)
  • Qualified Medical Evaluations (QME)
  • Functional Capacity Evaluations (FCE)
  • Peer Review Services:
    • Utilization Review
    • Pharmacy Review
    • Peer to Peer Consultations
  • Family Medical Leave Act (FMLA) Exams
  • Physical Capacity Evaluations
  • Fitness for Duty Evaluations
  • Medical Chart Reviews
  • Nurse File Reviews
  • Disability Reviews
  • Radiological Reviews
  • Investigational and Medical Fraud
  • Billing and Coding
  • Utilization Reviews
  • Dental Reviews
  • Injury/Illness Assessments
  • Pharmaceutical Reviews
  • Over-Utilization
  • Pre-Employment Evaluations
  • Medical Necessity Review