For more than a decade, Nexus has optimized the clinical review process for insurers, third-party administrators, brokers, consultants, attorneys, employers, and government entities.
Efficiently manage workers’ well-being and claims
Delivering accurate reviews for evidence-based decisions
Prompt return-to-work strategies
Evidence-based drug utilization management
Supporting the efforts of state and federal government agencies for over 10 years
Proactively optimize care plans to ensure treatments are medically necessary and cost-effective, helping reduce unnecessary expenses and improve patient outcomes.
Leverage independent assessments from board-certified specialists to validate clinical decisions, maintain compliance, and uphold quality standards.
Closely examine complex claims that require specialized knowledge and expertise to uncover significant savings.
Benefit from expert insights to navigate complex regulations, mitigate risks, and strengthen case strategies.
Ensure medication appropriateness, control drug costs, and enhance patient safety through comprehensive, evidence-based pharmacy evaluations.
Our board-certified physicians meticulously assess each case, minimizing the need for appeals and ensuring quality outcomes.
Behind every clinical review, Nexus prioritizes the privacy and security of patient data. We monitor the evolving cybersecurity landscape to ensure current protocols are in place.
We use proprietary, scalable platforms that adapt seamlessly to risk management and claims processing models, combining technology with a human touch to achieve optimal results.
Nexus streamlines processes, ensuring swift and accurate information flow. Claimants receive timely care, leading to better outcomes and reduced overall medical costs.
Amid complex regulations, Nexus rigorously adheres to accreditation standards and state and federal requirements to ensure the highest quality reviews.
Nexus employs expert physicians to deliver accurate, evidence-based decisions - integrating quality at every stage to enhance workers’ comp and claims management outcomes.
Our board-certified physicians meticulously assess each case, minimizing the need for appeals and ensuring quality outcomes.
Behind every clinical review, Nexus prioritizes the privacy and security of patient data. We monitor the evolving cybersecurity landscape to ensure current protocols are in place.
We use proprietary, scalable platforms that adapt seamlessly to risk management and claims processing models, combining technology with a human touch to achieve optimal results.
Nexus streamlines processes, ensuring swift and accurate information flow. Claimants receive timely care, leading to better outcomes and reduced overall medical costs.
Amid complex regulations, Nexus rigorously adheres to accreditation standards and state and federal requirements to ensure the highest quality reviews.
Nexus employs expert physicians to deliver accurate, evidence-based decisions - integrating quality at every stage to enhance workers’ comp and claims management outcomes.
Nexus is a leading national independent clinical review and utilization management organization. With over a decade of experience, we specialize in providing innovative solutions that balance quality with superior outcomes.
We offer comprehensive services to insurance companies, third-party administrators, self-insured programs, government organizations, health systems, and government entities. Our portfolio includes workers’ compensation, group health, auto/general liability, disability, and pharmacy, and medical facilities.
Our problem-solving solutions deliver quality results. Let us streamline your journey toward better patient care.