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Innovative Claims Strategies Integrated Medical Claims Management Program Overview Prepared for: September 1, 2011

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Page 1: Ics Services Overview Template Wc

Innovative Claims StrategiesIntegrated Medical Claims Management

Program Overview Prepared for:

September 1, 2011

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Corporate Overview

Genesis of ICS Disability and medical care management services Leader in technology-driven, early intervention case management services Extensive experience within both public and private sector, risk pools, carriers,

third party administrators, self insured/administered, and transportation industry Comprehensive and innovative technology solutions, including extensive

interface capabilities Documented savings and results Flexibility to customize all aspects of service to ensure programs meet unique

needs of each client Our principle objective is to deliver innovative, integrated, and technical

strategic services to our clients that result in outstanding program outcomes We create our services as a branded business model, not a commodity

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Capabilities Overview

Workers’ Compensation Auto

FELA

Longshore/Jones Act Liability

Group Health

Covered Lines of Business:

Our Branded Service Product Lines:

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24/7 Case Initiation & Absence Management

Call Center

Early Intervention Telephonic Case Management

- Concurrent UM

Catastrophic & Task Based Field Case

Management

Pre-Certification/Prior Authorization –

Prospective UM

Online Medical Bill Review with Fusion

PPO-ICING

Out of Network IRON Signed Agreements

Specialty Bill Review – Retrospective UM

Medicare Set Aside – Comprehensive Solutions

Medical File & Demand Package Reviews

Independent Medical Evaluations

Physician Advisor (PHAD) and Peer Reviews

Pharmacy & Durable Medical Equipment

Programs

Medical Record Retrieval

Arbitration & Litigation Support

Investigative & Surveillance

Subrogation & Third Party Recovery

Transportation & Translation & Transcription

Technology Suite

Program benchmarking, data collection, &

analysis

Our Service Capabilities Overview

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Competitive Advantages Extensive managed care industry knowledge

Integrated managed care model with demonstrated results

Customized, flexible programs helping clients meet objectives

Complete transparency in all service component

PPO ICING combines disparate networks

Proprietary, integrated technology solutions

Dedicated implementation and customer service team

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Our Integrated Service Business Model iCORE (Integrated Circle of Excellence)

PPO Management Fraud Abatement Record Retrieval Field Case Management Transportation Translation (Telephonic, Traditional, On Demand) Vocational Rehabilitation Subrogation Impairment & Disability Ratings Pharmacy Benefit Management Programs Wellness & Recovery

iSYS (Integrated Systems) Data & Image Repository

iBOSS (Integrated Back Office Service Solutions)

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Integrated Medical Claim Management – Our Approach Our primary approach is to deliver innovative, integrated, and technical strategic services

to our clients that result in outstanding program outcomes fused with stakeholder satisfaction creating a branded business model, not a commodity

Our claims management approach includes Medical and Disability services to manage each dimension of a claim that affect overall costs to achieve program efficacy

We adapt our technology and processes within the program to match the specific and unique characteristics of our clients and any jurisdictional or legislative requirements, along with the endorsed case management techniques typical of a given state

Our services within the program are scaled to match our client’s desired distribution of process between its internal staff and the ICS professional staff

Our model is composed of services that begin with the first notice of injury and encompass prospective, concurrent, and retrospective care management industry best practice techniques

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Integrated Medical Claim Management – Our Approach

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Call Center Services

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Call Center Services - Component Benefit

Promotes Early Intervention with prompt notification of injury, illness, accident and/or absence

Dedicated Toll-free number available 24 hours a day/7 days a week Designed to complete all mandatory and client specific reporting forms Allows for immediate verification and access of information via Auto Email

Alert process and WebOPUS Browser technology Designed to eliminate paper & labor intensive processes Improves timeliness of reporting of injury, illness, accident and/or absence,

allowing for Care Management to begin immediately Provides for Mandatory and/or “Soft” channeling to appropriate PPO/EPO

Network provider Provides for “Call ahead” process to the appropriate facility Provides for Flagging between various payment systems

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For Client A, new injuries that are reported 8 Days of Greater incurred roughly 140% more in medical costs than those cases that are reported the Same Day.

For Client A, new injuries that are reported 8 Days of Greater incurred roughly 140% more in medical costs than those cases that are reported the Same Day.

Impact of Early Intervention - Average Medical Cost by Lag Time Category

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Early Intervention Case Management

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Early Intervention/Telephonic Case Management

The control process in the Integrated Medical Management Program is the Telephonic Case Management component

Prompt and concurrent review and management of the medical care of injured employees ensuring the utilization of the best and most appropriate medical care

Timely and continuous contacts with injured employee, work site coordinator, medical provider, and claims adjustor until claim resolution promoting effective communication

Focused return to work coordination by managing the disability duration of injured employees compared to national best practice guideline

Promote employee advocacy and goodwill

Forum for Program Introduction & Expectations

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Early Intervention/Telephonic Case Management Upon completion of an Initial Assessment, Nurse Case Manager will

evaluate: Medical Management • Treatment Plan • Disability Duration Return to Work Plan • Pre-Authorization/Utilization Review Necessity for Peer Review, Independent Medical Evaluation or

Field Case Management

Continuously update work site coordinator, claims adjustor or any other interested stakeholders with care management milestones via: EDI to Claims System Email Alerts to all interested parties WebOPUS Browser accessibility

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Transparent claimant, provider, and employer tool, customizable by client

Consolidates all prospective services (pharmacy, PT, imaging, DME) into an ID card

Created through a claim file feed or in real time through a customized web-site

Incorporates panels to improve compliance and direction of care Increases utilization of prospective programs and PPO penetration,

reduces out-of-network management cost Enhances quality of care and improve claim outcomes

Promoting Early Intervention - The ICS Health Ticket

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CY 1999 was the year prior to implementation of current ICS program. Over the past 11 full calendar years, the Average Lost Time Days on Closed Lost Time Claims is 27.5, 53% improvement measured against CY99 results.

CY 1999 was the year prior to implementation of current ICS program. Over the past 11 full calendar years, the Average Lost Time Days on Closed Lost Time Claims is 27.5, 53% improvement measured against CY99 results.

Average Lost Time Days by Closed Lost Time Claim

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Pre Certification/Utilization Review Services

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Prospective Utilization Review Overview

Detailed determination reporting with complete clinical rationale and treatment guidelines used for decision making

Our Technology allows for a seamless and fully integrated data exchange ensuring Authorization outcomes are embedded automatically for future reimbursement activity

Pre-certification Model Medical Necessity Review Full utilization management including concurrent review

Physician Review Model Criteria based referral Peer to peer board certified specialties Independent Medical Evaluations

Case Management Model Early Intervention

Field Case Management as necessary

Cost Projection

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Medical Bill Review & PPO ICING &

Out of Network IRON

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Medical Bill Review Services

ICS has emerged as a unique national medical bill review alternative for Insurance Carriers, Third Party Administrators, State Funds, and Self Insured Employers by providing flexible service delivery through our innovative technology, business model and offering access to national and specialty PPO Networks

ICS utilizes an internally developed and proprietary medical bill review software, that utilizes highly flexible technologies as the basis for an extremely powerful and robust pricing engine

Carefully balancing the efficiency of automated pricing functions with the opportunity for intervention, control, and customization as required, ICS is able to meet the diverse needs of the Workers’ Compensation, Auto, Liability, FELA, FECA, and Longshoreman & Maritime Industries

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Medical Bill Review Services

Mail Room & Claim Indexing Document Management, Storage,

and Retrieval – Paperless Solutions Operational Throughput (iSTEP

Environment) e-BRIDGE (Adjuster Online Bill

Approval Dashboard) Real time interface that feeds

outcomes from Prospective Pre Cert to apply Retrospective Bill Review Pre Cert Flags

Fee Schedule/UCR adjudication PPO ICING with Fusion Nurse Audit & Code Review

Out of Network IRON (Increased Results On Negotiations)

Rules Based Technology creating Client specific Exception based workflows

Customized Adjudication Protocols Real Time Integration between all

stakeholder applications Real time, web based management

reporting Custom/Ad hoc/State Reporting Provider Assistance Hotline Automated Check Writing

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User-configurable rules engine Redundant or Duplicate

Charges Improper Coding Jurisdictional Rules Utilization Guidelines Pre Certified Treatment Plans Case Specific Denials Fee Schedule/UCR Calculation

ICD/CPT Procedure Code Matching/Crosswalk

PPO Network ICING Application

Out of Network IRON Application

Automated Medicare CCI / OCE / MUE

Reserve Limits Client Defined Flags

ICS performs bill review services using a rules based software application that sequentially applies a list of repricing considerations, as shown below, to each set of submitted charges that constitute a medical bill

Rules-Based Process

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PPO application performed on proprietary software platforms Setup customized per State for maximum penetration / savings Network types: National / Regional / Specialty

“ICING” with Fusion technology - Competitive Advantage Increased savings through multiple network Tiers – Best in Class Immediate network application reduces “lag time” Increased penetration levels drive additional savings

Client specific network solutions on a state-by-state basis through historical data analysis Quarterly Reviews of PPO Penetration and Trending Analysis to ensure PPO

Tier is appropriate and applicable to current outcomes

Network Solutions – PPO ICING

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PPO ICING – Sample Listing of Network Partners National

Prime Health Services Coventry (First Health, Focus, Aetna) Rockport Healthcare Healthcare Solutions Interplan

Regional MagnaCare HFN Sagamore/CIGNA Wellpoint

Specialty Physical Therapy – Universal SmartComp, Align, MedRisk Radiology - Core Choice, One Call Medical, ADIN Pharmacy – myMatrixx, Express Scripts, Progressive Medical, PMOA DME – myMatrixx, TechHealth, PMSI, MSC

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Incremental PPO/Specialty Savings & Penetration Breakdown

Tier 1 % of Total Savings: 29%

Tier 2 % of Total Savings: 8%

Tier 3 % of Total Savings: 8%

Specialty Network % of Total Savings: 22%

Specialty Review % of Total Savings: 33%

*Specialty Networks include PT, MRI, DME

PPO Penetration

Tier 1 PPO Bill Penetration: 21%

Tier 2 PPO Bill Penetration: 13%

Tier 3 PPO Bill Penetration: 9%

Specialty Network Penetration: 23%

Specialty Review Bill Penetration: 1%

Total Bill Penetration: 67%

PPO Savings

Case study: National retail client with warehousing and distribution centers2010 New Jersey Results: 75% PPO Penetration resulting in 50% Gross Savings

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PPO ICING – Identifying Incremental Network Penetration Business Model is structured to identify and increase PPO network penetration and savings

without ICS being the “primary” bill review vendor PPO-ICING has the ability to provide additional and comprehensive layers of PPO Networks to

augment and enhance existing PPO Networks, creating savings where none existed Leveraging our proprietary technology and operational methodology, PPO-ICING can

immediately identify if a medical bill “hits” a given PPO partner, assuring turnaround times are not compromised

Risk Free – ICS does not charge for processing the medical bill, only if PPO savings are achieved

Out of Network Signed Agreements – IRON Recommended referral criteria: Any medical bill that comes back without a PPO hit and over

$2,500.00 in Allowance Amount should be flagged for consideration Utilize proprietary application to identify past payment trends to establish appropriate

negotiation baselines All negotiations are tied to a signed agreement by medical provider to ensure 0%

reconsiderations

PPO ICING & Out of Network IRON Services

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Retrospective Utilization Management Augmenting the traditional Medical Bill Review adjudication process of securing

savings via Contractual PPO discounts, Fee Schedule/UCR reductions, or Out of Network IRON Signed Agreements, ICS has created comprehensive Retrospective Review Programs that are typically part of our overall Integrated Medical Management Program:

RN/Certified Coder review of coding and supporting documentation identifying unbundling, upcoding, and correct modifier utilization

Nurses review the services for appropriateness and medical necessity

RN Desk Audit focusing on a review of the itemized billing statement for medical necessity, treatment crosswalk, appropriateness of charges, length of stay, and proper documentation to support charges

Automated Flagging of Services matched with integrated Treatment Plans and Pre-Certification decision points/outcomes

RN/Physician Medical File Reviews

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Sample Medical Bill Review Process & Procedure – Administrative Phase

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Sample Medical Bill Review Process & Procedure – Decision Phase

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Sample Medical Bill Review Process & Procedure – Incremental Savings & Completion Phase

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PPO Network Managementservices managed by:

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Prime Health Services History – Business Model

Direct contract with providers using comparison methodology

Obtain provider partnerships with “Best in Class” regional provider systems in country

Acquire regional networks that fit Prime Health’s business goals

Create local customizable networks where possible

Innovative and proprietary technology solutions

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Prime Health Philosophy of Customizing

Prime Health has seen a growing lack of concern by other National PPOs to provide custom contracting for their clients.

Thus, Prime Health has developed a core philosophy of giving our clients access to the providers of their choice instead of forcing them into a pre-established network.

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Prime Health Philosophy of Customizing

Customizing through Queball™

QueBall™ drives the nomination and recruitment process and is an internal operation that is unique to Prime Health.

No other network offers the rapid turnaround in customizing it’s network offering to meet the needs of our clients.

Review of Non-Par data on a concurrent basis

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Prime Health Philosophy of Customizing

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A Case Study on Customization – State of Connecticut QueBall impact on customizing and enhancing the State of Connecticut’s PPO Network

include the following results: First 90 Days post the implementation of our Network Services:

70% increase in the number of Physicians 26% increase in the number of Facilities 56% increase in the number of Hospitals

Overall impact QueBall has had on the State of Connecticut PPO network since Program Implementation

200% increase in the number of Physicians 158% increase in the number of Facilities 161% increase in the number of Hospitals

Month Physicians Facilities Hospitals

July 2009 3,751 683 18October 2009 6,373 860 28January 2010 7,538 999 33

June 2010 9,220 1,474 34June 2011 11,226 1,765 47

Provider Counts

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A Case Study on Customization – State of Connecticut

Month October 2009 January 2010 April 2010 July 2010 October 2010 January 2011 April 2011

Total Bills 9,540 5,975 9,994 5,682 5,025 4,708 7,833

In Network Bills 5,331 4,499 8,380 5,021 4,498 3,670 7,148

PPO Penetration 56% 75% 84% 88% 90% 78% 91%

State Physician Hospital Facility

CT 16% 14% 16%

Network Penetration – By Medical Bill Adjudicated

Network Savings

QueBall financial impact on customizing and enhancing the State of Connecticut’s PPO Network include the following results: The State of Connecticut has seen their PPO Network Penetration increase nearly 63% from October

2009 (56%) to April 2011 ((91%) Overall Network Savings below the State Fee Schedule has improved even with the larger influx of

contracted providers

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Exclusive Occupational Health Network Overview Specially designed network of occupational health providers that are trained to

understand and treat a work-related injury

Occupational Health facilities that are in close proximity to employer locations

Utilization of Occupational Health facilities that have gone through and met extensive credentialing criteria

Utilization of Occupational Health facilities that have gone through and successfully met rigorous Site Visits

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PBM Network Managementservices managed by:

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Pharmacy Benefit Management Electronic Interface with Pharmacy vendor partner to establish eligibility

information First Fill Process Aggressive third party paper bill conversion Directly contracted Nationwide network Comprehensive Trend Reporting Determine Correct Formularies Retrospective Drug Utilization Review Predictive Modeling Program Reduces or Eliminates “Out of Pocket” Expense Mail Order or Non-Mail Services Physician Dispensing Solutions Significant Cost Savings coupled with low implementation requirements

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Other WC PBM myMatrixx $-

$500.00

$1,000.00

$1,500.00

$2,000.00

$2,500.00

$2,270.75

$1,699.08

Average Cost Per Claim/Year

Our Programs drive a lower cost per claim by managing the mix of drugs.

Savings Per Claim/Year$571.67

Pharmacy Benefit Management – Clinical Management

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82.26%

16.04% 1.70%

AVG Generic Substitution 82.26% Generic Efficiency 98.3%

Generic

Single Source Brand

Multisource Brand

myMatrixx converts 98.3% of all multisource brands to generic where it is appropriate

Pharmacy Benefit Management – Use of Generics

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myMatrixx Claims Data vs. pre-myMatrixx Claims Data

Client Type Percentage Savings

Generic Penetration Differential

Average Per Script Savings

Auto Clients 15.24% 8.27% $27.94

Larger State 19.59% 9.85% $30.84

Managed Care and TPA 18.04% 10.55% $36.95

Insurance Carriers 23.09% 11.24% $39.43

Pharmacy Benefit Management – Network Penetration & Savings Results

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Independent Medical Evaluation & Physician Review Services

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IME Services – Introduction

National Provider of Independent Medical Examination services Current Service footprint covers 40 states throughout the continental US Multi-disciplinary network of Board-Certified physicians Providers that maintain an active treating practice with no restrictions IME referrals via the internet Timely appointments and subsequent appointment management

Timely receipt of initial and final IME reports

Thorough quality assurance program to ensure client specific parameters are being met

Centralized management of referral from start to finish is accomplished via proprietary Internet based application

Web Portal available to access real time information, reports, and communications

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IME Services Overview Multi-disciplinary network of Board-Certified physicians Providers that maintain an active treating practice with no restrictions Medical Evaluation referrals via the internet Timely appointments and subsequent appointment management

Timely receipt of initial and final Medical Evaluation reports

Thorough quality assurance program to ensure client specific parameters are being met

Centralized management of referral from start to finish is accomplished via WebOPUS

WebOPUS Browser available to access real time information, reports, and communications

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IME Services –Advantages Advantages include:

Documented Return on Investment Savings Industry Leading Service & Technology

Customized HIPAA compliant proprietary software Real Time Online Tracking of IME Referral Robust Document Management interface for document viewing Complete Document Reproduction into a single source PDF using “One Click” Link with USPS for mailing requirement compliance

Ease of Doing Business Online Referral Sheet Ability to refer multiple EIP for multiple specialties Confirmation page can be easily exported to your claims system

Turnaround Time - TAT Industry Average for TAT is 21-30 Business Days, our Average TAT is 15 Business Days TAT from Date of Examination to Adjuster Receipt averages less than 3 Business Days

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IME Services – Quality Assurance

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IME Services – Ease of Doing Business

Online Referral Sheet

Can refer multiple claimants for multiple specialties

Confirmation page can be easily downloaded (exported) to your claims system

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IME Services – Online Tracking

Demographic information

Document viewing and/or reproduction (in PDF or DOC format)

Link with USPS for proof of mailing

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National Reviewer Panel Over 1,100 reviewer All ABMS specialties and subspecialties Board-certified Active clinical practice Current, unrestricted state license(s) TAT to meet your business needs Dedicated customer service teams HIPAA compliant technology SAS 70 Type II certified Web referrals Re-credentialed every three years

Independent Peer Review

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Comprehensive MSA Services:Medicare Set Aside

Medicare Legal SubmissionMedicare Reporting

Post Settlement Fund Management

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Medicare Set Aside Services Medical Services

Comprehensive overview of future care recommendations related to the compensable injuries of a claim conducted by experienced Nurse Case Managers certified in Life Care Planning

Social Security & Rated Age verification

Appropriateness of past treatment/medication use based on clinical practice guidelines and/or ODG

Compliance with treatment, response to past treatment and recommendations for future treatment

Prepare Medical Cost Projection Allocation Report

Evidenced Based Drug Utilization Review

Claim Settlement Allocation – Non Threshold MSA

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Medicare Set Aside Services Legal Services

Verify claimant’s eligibility status for Social Security and Medicare Benefits Provide professional legal opinion determining whether CMS approval is

necessary and support that opinion with professional liability coverage Provide appropriate settlement language The assembly of a MSA Arrangement and the submission to Medicare for

review and approval Advise on method of funding and administering MSA Provide Settlement Allocation language Obtain quotes and arrange purchase of Structured Settlement Annuities Medicare Lien Verification & Negotiation Reversionary Trust & Settlement Assistance

Post Settlement Compliance Services Creating a simple all-in-one solution for administering the post settlement

funds ensuring proper coordination of benefits and protection for all parties

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Fraud Abatement/SIU &Medical Record Retrieval

services managed by

a division of

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Fraud Abatement Services - Surveillance Largest provider of surveillance services in the industry National Coverage

Over 270 Employee Investigators Dedicated experienced staff that focus exclusively on this service component

Highest ethical standards Direct Management of all Files Defined Quality Control Program Ongoing Training Programs Accountability Monthly Reports Communication

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Fraud Abatement Services – eSearch eSearch Investigation can cover wide ranges of inquiries, as well as a focus on

specific leads or known relevant areas Common examples of available record information:

Detailed research report that can access:

This research can provide extensive information to facilitate focus of surveillances and other field inquires

Police Reports Criminal Records

Suits and Judgments Bankruptcy Records

Property Ownership, Motor Vehicle, Recreational Licenses

Education Employment

Various Internet Search Engines Social Networks Satellite Shots of Pertinent areas

Press Releases News Articles Canvassing Activities

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Fraud Abatement – International Experienced provider of claim investigations in over 200 countries Established relationships with reputable network of resources in each nation Cost effective service with specific quotes for an investigation before it is

handled – no surprises Management of the entire process from start to finish out of our Dallas TX office Types of reports include:

Death Related Investigations Death Verifications Interviews Surveillance Background Checks SIU Investigations Translation Services

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SIU Services Specific SIU Division within ICS Merrill

48 Investigators with over 20 years average experience

Complete national coverage by locally based investigators

Proficiency in all lines of property and casualty coverage’s

Full of supplemental service functions per client needs

Fraud reporting to State Fraud Bureaus and State Department’s of Insurance

Fraud training programs for clients

Ease of communication – single point of contact service

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Fraud Abatement & SIU Services - Technology

SmartPartner Case Management System Access with password through secure website Submit work requests Track case progress Receive email alerts on the referral Review actual reports See video clips or entire video Access to all historical data and video

Digital Video Library Link Access actual reports, documents, invoices Electronic link may be forwarded to client for ease of access Transfer the link to other parties within your organization Client designates life span of the link

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Medical Record Retrieval Services Parent company of ICS Merrill provides services directly – EMSI

EMSI is the largest and most experienced provider of medical record retrieval services to the insurance industry

EMSI has existing relationship with many Carriers for underwriting, medical records, and paramedical

Average 3,700 Medical Records retrieved per month

Average 12 Days to complete Service Referral

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Our Technology Suite

“The ICS Web Portals provide visibility into the progress of a case under

management for the adjuster and other stakeholders, as well as provides an

entirely electronic internal workflow for addressing all service requirements of an

Integrated Medical Claim Management Program as well as creating a

“Paperless” medical file as all medical documentation associated with the claim

will be available electronically”

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WebOPUS - Browser Tool Facilitates communication with real-time access to user friendly, web-based

care management software Provides browsers the ability to:

Follow the medical & disability aspects of cases online Review disability guidelines by diagnosis code Communicate with nurse case manager online Locate medical providers by location/specialty Receive auto email alerts of new First Reports of Injuries & Case

Management Episodes of Care Retrieve Case Management Reports online Review the medical payment history on a claim Retrieve & Review medical documents attached to a claim Generate Management Reports on demand

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Adjuster Web Portal Tools eBRIDGE Adjuster Production Worklist Web Portal

Access to Pre-PPO EOR/Bill Images Line Level Approval Denial Customizable Denial Reasons Free Form Text Denial Comments Automated Throughput

WebOPUS Real Time Browser Web Portal Access to all completed historical bill data and images Access to all completed Utilization Review records and medical documentation Access to all Case Management information, including return to work documentation, Nurse

Notes, and Treatment Plan management Receive auto email alerts predicated on Case Event Milestones Follow the medical & disability aspects of cases online If applicable, ability to interact directly with assigned Nurse Case Manager, Utilization Review

Nurse, and/or Hospital Bill Audit Nurse.

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Case Management / Bill Review Seamless Integration

Claim Data

Claims created from Client Claim Feeds

Claims created from ICS FROI Services

Claim updates received from any Third Party Source

Pre-Authorization / Pre-Cert Header & Line Detail outcomes with notes

Claim Flags created from Pre Cert and Claim Update process

Pre Cert Data – Fee Schedule data creates cost and savings reports

Online Bill Approval / Denial Portal – Status and Outcomes

Case Management Billing Screen – Comprehensive Service History

Automatic Claim Reopening & Nurse Intervention

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EDI Capabilities Incoming

Claim/Eligibility Provider/Vendor Files e-billing UR/CM notes/data PPO data Check Number/Date

Outgoing provider payment for ease of generating reimbursement checks EOR Header and Line Detail data (including CPT codes) review fees PPO data Regulatory (TX & CA EDI mandates)

Systems flexibility to match and re-create existing EDI processes Transfer of files can take place using SFTP, VPN, electronic mailbox, e-mail etc.

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Comprehensive Reporting Dashboard Capabilities & Sample Stewardship Report & Outcomes

Standard report package designed to meet client needs

Web based reports are concurrent with Real Time Data

Customized Stewardship & Ad Hoc Reporting

Auto Reporting Triggers Demonstrates program

effectiveness State Reporting Identifies safety & loss

control interventions

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Implementation & Account Management Philosophy

Implementation is the Key to Program success Dedicated Implementation and Operational Team Senior Level Account Management Detailed knowledge gathering round table meetings Customized service programs and reporting Ad Hoc Status Calls Monthly Program Updates Quarterly Stewardship Meetings and Efficacy Outcomes

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ICS offers a Unique Partnership Comprehensive service and processing solutions Bundled or unbundled program management Customized medical processing and flexible network options Program designed to address your claims population needs Lower cost solution due to proprietary components Complete transparency with no conflict of interest Key Attributes: Integrity, Innovation, Service, Flexibility, Technology, Results

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Our Vision