Texas Workers’ Compensation Physician Peer Review
C3 | Clinical Compensation Consultants;
C3 | Clinical Compensation Consultants support Texas claims with comprehensive clinical evaluations that enables claim file handlers at every level with medically defensible answers and a clear indication on how best to proceed clinically. Headquartered in our capital, we service claims across the state. Each review was completed by a board-certified provider, written to the standards of evidence-based medicine, and plain language to assist in every step of the adjudication process.
What Physician Peer Review in Texas Solves
A peer review is designed to enable the claims professional a clear understanding of the clinical issues in terms that all parties can understand. We often address issues regarding clinical indication and medical necessity, questions concerning diagnostic imaging studies, and evaluating the responses of other clinicians. Additional concerns with respect to relatedness of the pathology to the compensable injury sustained in what treatments would be considered reasonably required to address the sequelae of the actual injury.
The deliverable, the actual report provided, is presented in plain language format, utilizing the parameters of evidence-based medicine and including the most recent clinical citations. The opinions offered are competent, objective and independently confirmable assessments of the narrative documents presented for review.
At times we will notice a difference in clinical opinion. However, it is the application of evidence-based medicine data that elevates reports. This will enable any adjudicator to decide at the highest possible level of clinical medicine.
How We Work With Texas Claims
Texas claims move faster when the process is straightforward. We follow a simple timeline that keeps you informed at each step and aligns with deadlines, including DWC-32 when needed.
- Send the file: Use our intake to submit records and your specific questions. Include the claim number, date of injury, jurisdiction, and any deadlines so we can align scope and timing.
- We prepare the record: We confirm receipt and organize clinical records presented for review.
- Physician review: Our board-certified physician completes a comprehensive assessment utilizing standards of evidence-based medicine.
- Defensible report: You receive a medically defensible report with clear conclusions, clinical citations, and recommendations for next steps.
GET A PEER REVIEW
Send your file via Submit a File Request with your questions and deadlines. We confirm receipt, request missing documentation, and deliver a clear, defensible report grounded in evidence-based medicine. Records are protected throughout the process.