Peregrin's services
for liability claims include the following:
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Usual, Customary and Reasonable bill review
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Utilization review to address issues such
as medical necessity, inappropriate treatment, pre-existing
conditions and causal relationship to accident
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Independent Medical Exams (IME):
A panel of doctors available for record reviews, deposition, arbitration, and
trial testimony
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For liability claims, the various
cost containment services provides adjusters with additional
tools to use when negotiating settlements. Over-treatment or
inappropriate treatment is often a major concern when evaluating
personal injury cases.
USUAL, CUSTOMARY & REASONABLE
FEE SCHEDULE
Peregrin utilizes one of the most recognized UCR databases in the United States:
Ingenix/Medicode of Salt Lake City. The Ingenix system contains values for all
7,000 CPT codes by 3 digit zip code, nationwide.
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Based on statistical analysis of actual provider
fees
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Updated every six months
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Complete range of percentile values
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Ingenix stands behind and supports each data
base value |
RETROSPECTIVE UTILIZATION REVIEW
Medical experts in various specialties are available to review records and
to address issues such as medical necessity, inappropriate treatment, pre-existing
conditions, causal relationship to accident, and so on. The experts are matched
according to specialty, the type of injury, or per the adjusters' request.
They will support their evaluations in depositions and testimony when necessary.
Pricing depends on length of medical file and specialty of the doctor.
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