Provider Network

Comprehensive Managed Care

Tiger Claims Management is committed to providing a comprehensive medical care solution to meet and exceed the needs of our clients. We focus on improved outcomes for inured employees, with minimal downtime as they receive high quality and effective treatments for their injury. We promote quality patient care through the following services:

• Medical Care Management

• Nurse Case Management by Healthcare Professionals

• Utilization Review (UR) for Treatment Approval

• Pharmacy Care Management

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Medical Care Management

Medical treatments are subject to the guidelines set forth by the Medical Treatment Utilization Schedule (MTUS) and approval through a Utilization Review (UR) process, which was established in a 2008 State of California Law.

• Employer covers 100% of costs (limits to physical therapy and chiropractic treatments – 24 visits)

• Costs subject to state mandated fee schedule based on the Medicare Fee Schedule (Bill Review Process)

• Provided until medically discharged from care or possibly for life (if medically indicated and awarded)

• If claim is delayed, medical treatment provided up to $10,000.00 – until the claim is denied or if accepted treatment continues

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