Workers’ Compensation

Workers' Compensation Solutions | Prime Health Services

Workers' Compensation PPO · Powered by Renovo

Control medical costs without losing sight of care.

Prime WC connects provider access, medical bill review, pricing intelligence and claim support through one flexible Workers' Compensation solution.

AccessConnect injured workers to appropriate care
ControlApply the right pricing logic at the bill level
ClaritySee performance across the workflow
Connected claim workflowLIVE VIEW
Medical cost managementOne coordinated path
01
ACCESSProvider Network
02
PROCESSBill Review
03
PRICEPayment Logic
04
UNDERSTANDReporting
Built for
CarriersTPAsSelf-insured employersPublic entities

Explore the solution

More than a network.
A connected Workers' Compensation strategy.

Start with the capability that matters most to your operation. Each component can support a focused need or work together through Renovo as one coordinated solution.

Capabilities

The connected approach

The right action at the right point in the bill lifecycle.

Prime WC brings the major cost-containment paths into one understandable framework, helping clients apply the appropriate methodology in a consistent order while retaining visibility into the result.

01
REVIEW FIRST

Bill review & fee schedules

Validate bill and claim data, apply jurisdictional requirements, edits and available fee schedule logic.

02
CONTRACTED PATH

PPO network pricing

Apply the appropriate contracted reimbursement when an eligible network agreement is available.

03
BENCHMARK PATH

PRIME FMP+

Use market intelligence to develop a recommended payment when fee schedule and contracted options do not apply.

04
SPECIALIZED PATH

Negotiation & bill-specific support

Route complex or high-value bills for focused provider engagement and documented resolution support.

WHY IT MATTERSA unified framework reduces fragmentation without forcing every bill down the same path.

Each methodology retains its distinct role: an allowable amount for contracted, negotiated and review-based outcomes; a recommended payment for FMP benchmark results.

Renovo technology solutions

Automate the complex.
Control the outcome.

Renovo is the configurable technology foundation behind Prime WC, connecting pricing, processing and performance workflows without adding another disconnected layer to your operation.

01

Configurable workflows

Client-controlled rules, routing and review logic designed around your program.

02

Connected integrations

API-capable architecture supporting cleaner data exchange and operational continuity.

03

Real-time visibility

Dashboards, reporting and performance views that make the workflow easier to understand.

04

Adaptive implementation

A flexible foundation designed to support new requirements without legacy constraints.

Discuss your workflow
SYSTEM ACTIVE
WORKFLOWMedical bill review
Today
INTAKEValidated
ROUTINGConfigured
PRICINGIn sequence
Connected activitySTATUS
01
NetworkContract match evaluated
Complete
02
PricingApplicable logic selected
Complete
03
ReportingDecision detail available
Ready

Built around your operation

A stronger program is more than a list of services.

Prime brings the network, technology and people together so your Workers' Compensation strategy can work as one connected program.

01

Flexible by design

Configure networks, rules and services around client requirements instead of reshaping your operation around a rigid platform.

Client-controlled configuration
02

Consistent across markets

Support multi-state or regional programs with a coordinated approach to access, pricing, reporting and compliance.

Program-level consistency
03

Supported by people

Pair modern technology with experienced network, bill review, negotiation and client-service teams.

Dedicated partnership

Start a conversation

Build a Workers' Compensation program around your priorities.

Tell us where your current process creates friction. We'll show you how Prime WC and Renovo can bring access, pricing and performance into one clearer strategy.

To Make Requests For Further Information,
Contact Us!

Call Us Or Email For Any inquiry

Phone: (866) 348-3887
Email: info@primehealthservices.com