Insurance / Workers Comp

Insurance and Workers' Comp

PRO PHARMA offers a unique set of services and products specifically targeted to the Workers' Compensation sector in the following areas:

Management / Oversight

  • Monthly Review/Analysis of Invoices for Appropriateness
  • Case Management
  • Care Management
  • Disease Management Support

Management of Claims Administration

  • Invoice Screens™ and Oversight of PBM/TPA
  • Financial and Performance Analyses/Audits
  • Re-Pricing of Invoices

Administrative / Clinical Support

  • Evaluation of Claims
  • Prior Authorization Support
  • Formulary Design and Management
  • Drug Utilization Review
  • Contract Language Review/Recommendations

Specialty Injectable Pricing

For more information please contact Carol Stern @ 818-701-5438
or carol.stern@propharmaconsultants.com