PRODUCTS AND SERVICES

Our approach to injured-worker treatment offers high quality medical services that are easily accessible and convenient.  Providers participating in the PCT program have an interest and expertise in the treatment of injured workers and the medical management performed by PCT.  They are partners with PCT and our customers in reducing unnecessary costs associated with treating work injuries.  PCT Providers use the PCT treatment protocols based on the ODG treatment guidelines that promote aggressive management and support an early return-to-work strategy that allows the worker to remain in a productive environment while recovering.  PCT is committed to developing the best proven tools to meet our goals and the needs of our customers and providers.

Ø      Network of high-quality multi-specialty Physicians, Facilities, ASC’s and Ancillary Providers

Our Medical providers are carefully selected from the valued historical relationships of our providers and our customers, plus available utilization data.  We carefully monitor and train our providers to ensure accessible, high-quality medical care for our members.

Ø      Medical Management, Utilization Management/Review/Audit, Case Management

Our Medical Management Program monitors the efficiency of network providers, using community standards of medicine and the ODG treatment guidelines.  Guidelines are reviewed and modified to ensure the best clinical outcomes and return to work results.

Ø      Quality Improvement Programs

Our Quality Improvement Program is an integrated process designed to continually monitor, evaluate and improve the quality of care, services, cost savings, clinical outcomes and return to work results.

Ø      Third Party Administration – claims re-pricing/auditing

We administer an accurate, efficient, and effective claims payment and processing program.  Claims are finalized within regulatory or client-specific timeframes and methodologies.  The reporting functions are especially effective offering a variety of financial services and business systems.

Ø      Customer/member services and Provider Relations

We recognize that a commitment to ensuring member, customer and provider satisfaction is the key to our success.  We take this commitment seriously and consistently evaluate our success with satisfaction surveys and compare results with the marketplace.

Ø      E-commerce for claims submission, claim status, patient/provider information and more

We utilize the best known and cost effective e-commerce tools in all of our efforts, including: e-claims, web-based provider and member information, eligibility, claim status and reports.

Ø      Education/Training programs

We believe that individual training that is case specific is the most effective way to train our providers, members and customers.