Disability evaluation refers to the evaluation of the disability of the claimant to know its extent and impact on the quality of life and the ability to do work. To claim wage replacement benefits from an insurer, the disabled person has to undergo a medical evaluation to ascertain their disability and its degree. This evaluation will help the disability carrier to provide eligible work replacement benefits to the claimant. Medical review solutions help disability carriers to conduct quality medical evaluations and clinical reviews. However, one major concern for disability carriers is compliance with the amendments in Employee Retirement Income Security Act (ERISA) which came into force on April 1, 2018.
Medical chart review helps insurers to evaluate the extent and severity of the disability as part of their claim determination process. Disability carriers have to work with the medical record review company to navigate the complex issues arising from disability determinations. Medical record review companies have the demonstrated capabilities to ensure credible and unbiased evaluation of disability claims.
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