Adopt a formal program for both point-of-injury response and post-injury follow-up and contact. This includes displaying a positive and concerned response to an injury and maintaining regular contact with the employee until he or she is back on the job.
Promote and publicize your medical provider panel before workplace injuries occur. Ensure your supervisors and managers are familiar with the designated medical providers and train them to recommend the occupational medical provider for initial care in non-emergency situations.
OneBeacon® manages workers compensation claims to promote your employee’s recovery and quickest possible return to work. OneBeacon also works directly with employers to return employees to transitional work whenever possible. Getting injured employees back to work is our primary focus.
Management of the medical expense portion of a claim is critical. Medical claim costs can escalate quickly, so OneBeacon works with key partners to deploy a full array of cost containment programs. These programs begin immediately after an injury occurs and will continue as long as treatment is medically necessary. Our cost containment programs include:
Preferred provider organizations:
Genex Provider Pathways is utilized for CO, CT, GA, MA, MN, NJ, NY, PA, and VA
If you have any problems accessing Genex Provider Pathway, contact GenexProviderPathway@genexservices.com
|California MAA Contact||California MPN Contact|
Sr. Claim Representative
Coventry’s First Health is utilized for all other States which are handled by Gallagher Bassett:
KY, LA & TX have specific requirements regarding the use of a PPO to direct care. If you print a posting notice from the Coventry website for any State it will be in compliance with the States jurisdictional rules.
Our telephonic nurse case management program is designed to ensure the injured worker’s medical treatment is proceeding appropriately for his or her injuries, resulting in enhanced medical care, cost-effective medical treatment, and the earliest possible return to work. Our collaborating professional nurses work closely with insureds, injured workers, their physicians and our workers compensation claims professionals to establish and implement return-to-work programs for employees who have suffered serious injuries.
OneBeacon partners with a vendor specializing in the management of catastrophic injuries to ensure the most challenging injuries receive coordinated medical treatment and quality, cost-effective medical care.
Through our hospital bill review program, we review hospital bills for accuracy, necessity of services, questionable charges and duplicate billing.
To help manage the ever-increasing cost of medical care, we employ several cost control methods, including the use of a sophisticated medical bill review program. We partner with a leading bill review vendor that allows us to leverage a state-of-the-art bill review system to help prevent duplicate payments, avoid payments for unrelated charges and reduce medical payments to appropriate amounts.
OneBeacon utilizes a program providing expert review and consultation with doctors and nurses regarding the appropriateness, timeliness, and cost-effectiveness of proposed medical treatment for in-patient and out-patient services.