One Call partners with payers to streamline ancillary care coordination by alleviating the complexities of the workers’ compensation process, including payment distribution and invoicing. Our unified approach to care management helps control costs and assists in prompt and accurate payment, while simplifying administrative workflows across the claim lifecycle.
Through advanced technology and automation, we modernize workers’ compensation care coordination, helping payers operate more efficiently with measurable results.
Outcomes That Matter
scheduling success*
in annual savings*
cost reduction*
Proactive Cost Avoidance
Supported by a nationwide team of experienced clinicians, One Call delivers an average of 24% cost avoidance* through clinically driven oversight, utilization management and data-driven insights.
Clinical Reviews: We provide product-specific clinical and treatment review programs, including our Gold Standard Review® for physical medicine.
Peer-to-Peer Clinician Engagement: Experienced on-staff clinicians and board-certified medical professionals collaborate to review treatment plans and provide insights.
Prescription & Utilization Management: Clinically driven oversight prevents overutilization by controlling visits, substituting brand prescriptions with generics and managing rentals and supplies.
Claim Insights: Our Age of Injury reviews generate measurable claim savings by applying data-driven insights to an injured worker’s treatment plan.
Value-Add Programs: Cost-effective services for durable medical equipment reduce future repairs and replacements, supporting uninterrupted care and preventing claim escalation.
Our Solutions
Through the power of one connection, we connect patients to high-quality providers – all managed with insight, expertise and measurable outcomes from start to finish.
Payer Portals
1
Referral Received
One Call sends a referral acknowledgment to the adjuster or case manager and contacts the injured worker within four hours.
2
Scheduling
One Call coordinates the appointment scheduling with the injured worker and provides ongoing updates to the adjuster or case manager.
3
Completion & Billing
Provider invoices One Call, One Call processes payment to the provider and submits billing to the payer for completed services.