Peer Reviews

We will provide you with an appropriate medical specialist who will review the medical records and provide a written report that will cover such issues as whether the treatment rendered was necessary and reasonable. Also, the Peer Review will address if the proper billing codes were used and if the charges were usual and customary.

Bill Audits

We will provide you with a medical specialist who will review the medical bills to determine if the charges are usual and customary.

Peer Reviews Form :

Date
Adjuster Email	* Required field
Company	* Select from Dropdown Box
Adjuster
Phone Number	Extension
Fax Number
Claim Number
Date of Loss
Insured First Name
Insured Last Name
Claimant First Name
Claimant Last Name

Attorney Information:
Attorney Name
Address
Address 2
City
State
Zip Code
Phone W/ Area Code
Type of Specialty

Type of Review:
Chiropractic	Orthopedic	Neurological
Dental	Psychiatric	Plastic Surgery
Internal Medicine	Other

Type of Case:
No Fault	Worker's Comp	Disability
BI	Other

Treating Physician:
Name
Address
Address 2
City
State
Zip Code
Phone W/ Area Code
Current Diagnostic

Documents:

Specific questions to be answered by the examining physician: