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DISABILIY FILE REVIEW BY PHYSICIAN SPECIALIST

Since 1997, we have provided expert physician specialist disability file review. We assist leading insurers and administrators with accurate and timely determinations. As a URAC-accredited Independent Review Organization we meet URAC's high standards for credentialing of physician consultants. Our disability reviewers are practicing, board-certified physician specialists with extensive disability experience.

Comprehensive claimant medical history and analysis supports sound administrator decision making. We give detailed responses to claims manager questions and concerns. Multispecialty review support is available for complex cases. We are experts in all medical practice specialties including behavioral health.

 

Excellent turnaround times support claims determination deadlines. We are always available to discuss our reports with examiners.

Our customized file and medical reviews may include, as requested
by client:

  • Policy-based recommendations and determinations

  • Limitations and restrictions

  • Own occupation evaluations including review of FCE (Functional Capacity Evaluation)

  • Determination of need for IME (Independent Medical Evaluation)

  • Written evaluation and opinions on IMEs previously performed

  • Waiver of Premium opinions

  • Pre-existing issue analysis

  • Covered residual disability

  • Complications of pregnancy assessment

  • Comprehensive behavioral health evaluation

HealthClaim Review® URAC Accreditation
SIIA Member
SIIA Member
NAIRO Member

©2026 Considine & Associates Inc. All rights reserved.

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