Verify every workers' comp claim before the visit

Before a workers' comp patient is scheduled, someone has to confirm the claim, find the current adjuster, and check which body parts are authorized. Clicks agents do it in the carrier portal for every referral.

See where the hours go

A workers' comp referral comes in. Someone logs into the carrier or TPA portal, confirms the claim is open, finds out who the adjuster is this week, and checks which body parts and procedures are authorized. If the portal is unclear, they call.

Skip a step and the visit happens against a claim that does not cover it. A shoulder gets treated on a claim that only covers the lumbar spine, and the bill is written off.

Why the queue never shrinks

Every carrier has its own portal

Sedgwick, Gallagher Bassett, CorVel, and the rest each work differently.

Adjusters change

The contact on the referral is often not the person handling the claim today.

Authorization is body part specific

A visit outside the authorized body parts goes unpaid.

Hand the repetitive path to Clicks

Clicks handles

Verifies the claim in the carrier or TPA portal
Identifies the current adjuster and contact details
Confirms authorized body parts and procedures
Flags mismatches between the referral and the claim before scheduling
Updates adjusters and employers on referral status
Writes the verified details into the EHR

Your team keeps

Disputes with the carrier
Peer-to-peer reviews
Treatment plan decisions

Questions, answered

Which workers' comp carriers does Clicks work with?

Any carrier or third-party administrator. The agent logs into whichever system holds the claim, Sedgwick, Gallagher Bassett, CorVel, The Hartford and Enlyte among them. If your team can reach a carrier's portal, so can the agent.

Does this work for PIP and auto injury claims too?

Yes. The same agents work personal injury protection claims, including the New Jersey APTP precertification form.

Who is this workflow for?

Orthopedic and spine practices with heavy workers' compensation and personal injury volume, and the pain management, physical therapy, and occupational medicine groups that run the same workflow.

Keep reading

SolutionReferral intakeEvery referral read, verified with the payer or carrier, and ready to schedule.Case studyCut APTP admin to zero with 24% fewer admin denialsAn orthopedics group went from roughly 15 minutes of admin per APTP form to none.Case studyWin 50% more appeals at 1/4 the costAppeal packages drafted the moment the denial arrives, at about 5 minutes of work each.

Show us the work your team wants off its plate

We map the repetitive path, build the agent, and hand every exception back to your team.