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Workers Compensation

An ever changing part of healthcare dynamics.

Initially, Workers’ Compensation was created as a bargain where workers agreed not to sue their employers in case of injury, and in return, employers took care of their medical expenses and provided them time off work to recover.

However, with the passage of time, Workers’ Compensation has become subject to State and Federal regulations, which are often monitored by state Labor Departments or Department of Insurance. These regulatory bodies have introduced State Workers’ Compensation Fee Schedules in 44 states and DC to manage costs. Insurance Carriers administer these claims, either as an insured policy or by self-insured funds on behalf of employers.

Usually, Workers’ Compensation claims are processed through software applications in bill review shops and paid via Third Party Administrators. This has made the Workers’ Compensation aspect of healthcare extremely complex to navigate. To comprehend the intricacies of Workers’ Compensation, you require a knowledgeable partner to assist you in your efforts.


Even with an employer’s utmost dedication to maintaining a safe workplace, accidents can still occur. In the event of an incident that requires medical attention, discovering reasonably priced and readily available care can prove to be a daunting task.


Certain states offer specialized network programs such as Texas’ HCNs and California’s MPNs. These programs’ regulations can be challenging to comprehend and navigate. However, with Prime Health Services, you have a reliable partner to assist you every step of the way!


Prime Health Services goes beyond just being a PPO network. We provide specialty networks that enable our clients to access customized healthcare services tailored to their specific needs, including surgery, hearing, independent medical reviews, and much more.


We have a team dedicated to negotiating bills, whether it’s for a specific client requirement or an individual bill, and we strive to complete negotiations within 72 business hours. Our extensive experience in this field allows us to secure the greatest possible savings.


PRIMEoutcomes is an automated healthcare evaluation tool that gauges patient outcomes in specific neuromusculoskeletal injuries or diseases, generates a visual trend report, and assists healthcare providers in devising and monitoring the effectiveness of treatment plans.


Our proprietary Bill Review Services employ a cutting-edge methodology to ensure that our clients receive the greatest possible savings on their medical claims. Our state-of-the-art technology remains at the vanguard of the industry, allowing us to exceed industry standards and deliver exceptional results to our clients.

Prime Health Services is here to help.

Prime Health Services offers our clients a unique understanding of the industry in order to help navigate through all these relationships. At Prime Health Services, we are never content with doing things the way they have always been done! Innovation is a driving factor to doing things better.

Consequently, Prime Health Services offers our clients speed of processing in a cloud-driven environment, accessing the best directly contracted relationships and partner-networks in a matrix offered to bring our clients the best coverage and best savings possible. Prime Health Services offers the most unique cost containment solutions available in the industry!