Managed Care

Coordinated medical, pharmacy, clinical and network solutions that improve recovery outcomes and control total workers’ compensation costs.

Call center employee on laptop, smiling while talking to customer

Accurate billing. Appropriate treatment.

Clinical nurses and certified coding specialists validate treatment, pricing, and compliance to confirm medical costs are appropriate and accurate.

Older woman filling in form on clipboard in doctor's office

Fast access to quality care

National and specialty networks help injured workers quickly locate experienced, occupationally focused providers near home or work.

California note: Where applicable, injured workers receive care through the existing PMA California Medical Provider Network (CA MPN), which remains unchanged pending State of California approval.

Patient meeting with doctor in large waiting room.

Safer, smarter medication use

Active pharmacy oversight manages utilization, controls narcotics, and ensures clinically appropriate prescriptions that support recovery.

Modern hospital high rise building with floor to ceiling windows

Clear guidance through recovery

Dedicated resources help injured workers understand care options, locate providers and pharmacies, and stay focused on recovery.

Transparency for medical providers

Secure online access allows providers to view bill status, claim information, and payment details—supporting timely, accurate care delivery.

Person filling in printed forms in front of laptop

Coordinated Care

Integrated Care That Improves Outcomes And Controls Cost

When care is aligned, recovery moves faster and outcomes improve. We bring together medical, pharmacy, clinical, and network partners into a coordinated approach that supports the full life of a claim, reducing gaps, minimizing delays, and ensuring employees receive the right care at the right time. With clear oversight and active management, we help control utilization, improve treatment consistency, and keep recovery on track, resulting in a more efficient care experience that delivers better outcomes while managing total claim costs with greater precision and confidence.