• Purpose: Provide to a Claims Adjuster or Nurse Case Manager direct access via either e-Mail or phone to a clinician (MD, DO, DC) for clinical questions or guidance
  • Scope:
    • One question on a clinical subject
  • Reviewer: The respondent will be assigned based on the subject of the question
  • Inputs:
    • E-mail or phone call from requester
    • Reviewer’s active clinical experience
    • Evidence Based Medicine
    • Latest medical research