Physician Services

Independent Medical Exams

Independent Medical Exams

PRIZM has a network of qualified medical experts to perform Independent Medical Examinations (IMEs) to determine medical necessity, causality or to render an opinion regarding a specific treatment plan request. 

Key Features of Our IME Services:
  • Board-certified physicians across the spectrum of health care services
  • Prompt scheduling and keep all parties informed of any appointment changes
  • Notification to claimant and necessary parties based upon client protocol
  • Electronic notification of case status
  • RN QA review to ensure the report is accurate and all questions answered
  • Dr. Portal allows doctors to review the medical records, reducing turnaround times 

Peer Reviews

PRIZM understands the importance of high quality Peer Reviews and assures cost-effective delivery. Members of our expert panel of credentialed board-certified physicians perform retrospective review of medical services rendered for medical necessity or causality concerns. 

Key Features of Peer Review Services include:
  • Determination of rationality and necessity of care
  • Determination of appropriateness of setting where care is rendered and delivery of care
  • Analysis of report to ensure it provides clear, concise and credible medical opinions
  • Follow-up with physicians for addendum or clarifications, if applicable
  • Reports conform to all state mandated timelines

Film Reviews

PRIZM has an extensive panel of board-certified radiologists and neuroradiologists to perform film reviews for our clients. 

Our Film Review Solution offers:
  • Prompt referral to a specialist for review of X-Rays, CT Scans and MRIs
  • Studies are reviewed to determine causality with possible aging of the injury
  • Final Independent report is rendered and provided to adjuster