Services
Physician Peer Review
C3’s board-certified physicians provide comprehensive Physician Peer Review services that help carriers, employers, and claims professionals make informed medical decisions. Through an evidence-based comp review of claimant medical records, our specialists evaluate treatment plans, utilization of care, causation, compensability, and the extent of injuries. Every review is completed with careful attention to current medical guidelines, applicable regulations, and accepted standards of care.
Our physician peer review process delivers objective medical opinions that support accurate compensation decisions and claims management. Just as organizations rely on a structured compensation review process to make fair workplace decisions, our medical experts apply a consistent and thorough review methodology that helps clients reach well-supported claim determinations.
Impairment Rating Review
Impairment rating reviews ensure that your claimant’s impairment rating meets the standard of the specific guidelines insured specific to the applicable jurisdiction, the statute, and appeals panel decisions.
Impairment rating reviews can play an important role in supporting objective compensation decisions by ensuring impairment determinations align with jurisdiction-specific guidelines and established medical standards. Through detailed analysis and comparison of medical findings, our specialists provide documentation that helps support accurate claim valuation and defensible outcomes. This thorough review process allows stakeholders to make informed decisions based on consistent methodology and reliable medical evidence.
Baseline clinical assessment
C3’s licensed and board-certified physicians conduct baseline clinical assessments early in the claims process to evaluate the reported mechanism of injury and determine what appears to be compensable.
This early medical evaluation helps identify potential concerns before they become costly disputes. By providing an objective clinical opinion at the beginning of a claim, adjusters gain valuable insight into treatment expectations, injury severity, and compensability.
Early assessments promote more consistent claim handling and support informed decision-making throughout the life of the claim. Just as employers establish a compensation philosophy to guide consistent workplace decisions, our physicians follow a structured clinical methodology that produces reliable and defensible medical opinions designed for long term claim management.
DWC 32 Processing with Summary
C3’s professional staff completes the DWC-32 and submits the completed form to the adjuster for approval prior to submitting to DWC. We sort and summarize the medical records with special attention and detail related to the questions posed to the Designated Doctor. We ensure records and summary are provided to the Designated Doctor in compliance with DWC rules and regulations. Following the date of the exam, our staff will contact the DD’s office, confirm attendance and provide the adjuster with status updates during the process. If the adjuster submits the 32 form, we can still complete a Claims File Analysis and handle the claim as previously discussed.
Cumulative Impact
When multiple compensable injuries exist, understanding how previous impairment ratings affect the current claim is critical.
C3’s physicians evaluate the relationship between current and prior compensable injuries by reviewing historical impairment ratings and determining their cumulative impact. This analysis helps clients understand potential contribution issues while supporting accurate medical and legal evaluations.
Our objective assessments help reduce disputes and provide the documentation needed to support defensible claim outcomes.
Claims File Analysis
C3’s Claims File Analysis (CFA) provides a complete medical review designed to give adjusters a clear understanding of every aspect of the claim.
Each report includes:
- A comprehensive medical record review
- A detailed medical timeline
- Identification of all disputes (per PLN-11)
- Return-to-work history (per DWC-73)
- Previous Designated Doctor Exams (DDEs)
- Required Medical Examinations (RMEs)
- Organized documentation for the Designated Doctor
By presenting information in a logical and efficient format, our Claims File Analysis helps streamline claim handling while supporting accurate medical opinions and well-informed decisions.
Just as organizations review internal equity, pay equity, performance ratings, salary bands, salary adjustments, pay increases, pay structures, internal pay, and compa ratio when evaluating employee compensation, our analysts carefully examine every relevant medical record to ensure each claim is reviewed consistently and objectively.
Diagnostic Re-Read
When additional medical insight is needed, C3’s licensed and board-certified physicians provide independent diagnostic re-reads of prior imaging studies and diagnostic assessments.
A second opinion can help clarify conflicting findings, identify overlooked medical conditions, or validate previous conclusions. Every diagnostic re-read is performed using current medical standards and supported by detailed documentation.
Our physicians deliver objective, evidence-based opinions that assist adjusters, employers, and legal professionals in making informed claim decisions. Whether reviewing complex injuries or confirming previous findings, our commitment to accuracy helps clients achieve more consistent and reliable outcomes.
Let us Customize a Plan for You!
For a customized workers compensation management plan, built around your specific goals and needs, please contact us today.