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RELIANT MEDICAL ANALYTICS

How We Engage

RMA integrates directly into existing claim workflows, supporting claims, legal and billing teams.  We are typically engaged to:
 

  • Coordinate and manage IME and medical review programs

  • Validate and reconcile billing, documentation, and payments

  • Support coverage and defense-related medical analysis

  • Identify discrepancies and escalation points across active claims

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The focus is immediate impact on turnaround time, decision quality, and claim-level financial outcomes.

WORKFLOW

Integrated Into Your Existing Workflow

RMA is not a replacement for claims teams or defense counsel.

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We operate within your existing process—supporting execution across medical review, documentation, and coordination layers.

  • Work alongside claims handlers and legal teams

  • Coordinate across medical vendors and physicians

  • Support ongoing file development and follow-through

  • Adapt to existing systems and workflows

CAPABILITIES

Five coordinated areas of execution.

01

  • Physician sourcing and scheduling

IME Coordination

Executed with defined timing and accountability.

  • Specialty matching based on injury profile

  • Exam coordination and logistics

  • Report tracking and delivery

  • Follow-up to ensure completion

02

Radiology and Peer Review Coordination

Standardized to deliver consistent clinical interpretation.

  • Coordination of radiology reviews

  • Peer review scheduling and tracking

  • Integration of findings into documentation

  • Vendor coordination and follow-up

03

Medical Record Management

Structured to maintain complete, accurate, and actionable visibility. 

  • Record collection and organization

  • Chronological structuring of files

  • Identification of missing records

  • Preparation for review and legal use

04

Claim-Support Documentation

Developed to strengthen file quality and support clear defensible decision-making.

  • Packaging of reports and findings

  • Coordination of supporting materials

  • Alignment with litigation needs

  • Ongoing updates as files develop

05

Workflow Oversight and Follow-Through

  • Tracking open actions

  • Managing vendor follow-ups

Actively managed to ensure claim progression stays on track.  

  • Supporting timing of key steps

  • Maintaining continuity across claims

RESULTS

More than task completion

RMA's role is not just to complete individual tasks — it's to support and drive more consistent execution across claims.

  • Less variation in how similar claims are handled

  • Better timing of medical reviews and exams

  • Fewer breakdowns across vendors and teams

  • More usable and organized documentation

CONTACT

Execution That Supports Better Outcomes

In high-volume environments, consistency and timing drive results.
RMA supports the execution required to move claims forward with greater control.

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