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CLINICAL UNDERWRITING REVIEW

Maximize Business Goals, Minimize High-Cost Claims

With a program uniquely designed to complement and strengthen your current processes, SCM’s Clinical Underwriting Review services deliver a better way to navigate healthcare insurance risk

How We Stand Apart:

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Direct Collaboration

SCM works directly with your clinicians and underwriting staff, enhancing both your in-house and external resources

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Extensive Experience

Our Risk Management Team has decades of combined experience within the stop-loss industry and as underwriting clinicians

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Real-time Tracking

We quickly and accurately evaluate claimant risk, assess risk details and recommend the appropriate underwriting cost level

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Continual Updates

SCM constantly monitors for regulatory and reimbursement approvals of new treatments to keep you ahead of high-cost claims

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Flexible Fee Structure

Our competitive pricing can be customized to your needs, whether a monthly retainer or on an à la carte, review-by-review basis

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Peer-to-peer Approach

Whether MD-to-MD or RN-to-RN assessments, we uncover the true cost of care that is often not apparent within medical records