Liabity Claims Services
  UCR Fee Schedule
  Retrospective Utilization
   
   
   

Peregrin's services for liability claims include the following: 

Usual, Customary and Reasonable bill review
Utilization review to address issues such as medical necessity, inappropriate treatment, pre-existing conditions and causal relationship to accident
Independent Medical Exams (IME): 
A panel of doctors available for record reviews, deposition, arbitration, and trial testimony


 

 




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

Based on statistical analysis of actual provider fees
Updated every six months
Complete range of percentile values 
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.