IMEs include a physical examination and comprehensive review of a claimant's medical records, which are gathered by MES. MES identifies and assigns the appropriately trained physician from our medical panel with the required medical specialty or specialties to evaluate the claim. The physician prepares for the examination based on specific questions around a claimant's condition and evidence-based medicine. Final quality assured reports are available to download from the portal or the delivery method of client choice.
MES ensures that proper procedures and workflow requirements are aligned with state statutes and insurance coverage. Our service professionals know these medical-legal regulations for every jurisdiction. Claimants and clients are treated in accordance with URAC's healthcare oversight standards. Protected health information, and proprietary company data observe federal privacy standards outlined in the HIPAA and HITECH Acts.
Claims and IME referral management have pre-determined timelines. Our service professionals actively manage every step of the process. Our secure electronic case tracking software enables clients to manage as much or as little of the referral process as desired. Clients can submit referrals, track status, upload and download medical records, and reports 24/7. The online web portal is a virtual assistant that expedites referral tracking.
Medical Evaluation Specialists (MES Solutions or MES) and MES Peer Review Services provide the claims community access to physicians with expertise in conducting Independent Medical Examinations, Record Reviews, and Peer Reviews. Clients include insurers, third-party administrators, self-insureds, government agencies, and attorneys. Markets served include auto, disability, liability, workers' compensation, and group health.
© 2024 MES Solutions. All rights reserved.