Support Claim Services

Support Claim Services Insurance Review

Support Claim Services, Inc. (SCS) is a prominent national medical legal organization specializing in medical cost containment services. Established in 1991, the company has built a reputation for providing a comprehensive suite of services, including Independent Medical Examinations (IMEs), Peer Reviews, Bill Reviews, and various other crucial functionalities within the medical-legal landscape. This detailed review explores SCS's history, services, pricing, customer support, and overall standing within the industry, aiming to provide a clear and unbiased assessment.

Overview

Year of Establishment and Background Story: Founded in 1991 by Sally Rogen, with Arthur Rogen joining shortly after to bolster the company's early growth. The company started with a small team of seven employees, primarily focused on providing IME services. Under the leadership of Eitan Dagan, SCS significantly evolved its operational capabilities. This involved the development of a virtual claims system, which plays a crucial role in the company’s efficiency and ability to provide rapid report turnaround times, a key differentiator in today's fast-paced industry.

Key Milestones in the Company’s History and Growth: The journey of Support Claim Services exemplifies consistent growth and adaptation. The initial focus on IMEs laid a solid foundation, allowing the company to expand its service offerings over time. The implementation of a virtual claims system stands out as a significant milestone, marking a shift towards streamlined processes and enhanced efficiency. The achievement of SOC 2 Type II certification underscores the company's commitment to data security and compliance. This commitment to upholding the highest standards reflects their dedication to protecting sensitive patient information and maintaining a robust, secure operational environment.

Regulatory Compliance and Licenses

SCS maintains a strong commitment to regulatory compliance and has secured several key certifications and accreditations that demonstrate its adherence to industry best practices and legal requirements. These include:

• URAC Accreditation: This accreditation from URAC (Utilization Review Accreditation Commission) signifies that SCS meets rigorous quality standards in medical cost containment. It showcases the company's commitment to delivering high-quality services that align with industry best practices and standards.
• SOC 2 Type II Certification: This certification demonstrates SCS's dedication to maintaining a high level of data security and compliance with stringent security standards. This is particularly critical given the sensitive nature of the patient data the company handles.
• HIPAA Compliance: SCS operates within a HIPAA-compliant environment. This ensures the confidentiality, integrity, and availability of protected health information (PHI), guaranteeing the privacy and security of patient data.

Insurance Products and Services

Main Insurance Products

Types of Insurance Offered: SCS's services cater to a broad spectrum of insurance needs:

• No-Fault Claims: Handling claims related to accidents where fault is not determined.
• Liability Claims: Addressing claims resulting from negligence or legal responsibility.
• Workers' Compensation Claims: Managing claims related to workplace injuries.

Coverage Options and Policy Details: SCS tailors its services to meet the specific requirements of each client. This customized approach allows for flexible solutions that address individual needs effectively. These services include Bill Review, Document Management Solutions, and Functional Capacity Evaluations.

Additional Services

Other Services Provided: Beyond the core insurance claim services, SCS offers a comprehensive suite of additional services:

• Independent Medical Examinations (IMEs)
• Peer Reviews
• Medical Records Review
• Surgical Review
• Radiology Reviews
• Medicare Set Aside (MSA)
• Litigation Support
• Functional Capacity Evaluations

Premiums and Pricing

Pricing Structure

Overview of Premium Rates: While precise premium rates are not publicly available on the company website or through readily accessible sources, SCS is recognized for its commitment to cost-effective medical cost containment services. Their efficient processes aim to minimize expenses for their clients.

Comparative Analysis with Industry Averages: Due to the lack of publicly available pricing data, a direct comparison with industry averages is challenging. However, the company's efficient virtual claims system, contributing to quicker report turnaround times, suggests a competitive approach to cost management.

Discounts and Special Offers

Available Discounts: Currently, there are no publicly advertised discounts or promotional offers listed by the company. Their focus appears to be on delivering high-quality services at competitive rates.

Promotional Deals and Limited-Time Offers: As of this review, there are no promotional deals or limited-time offers explicitly mentioned on their website or in available public resources.

Customer Service and Support

Contact Methods

Available Customer Service Channels: SCS provides several avenues for customers to connect with their support team:

• Phone: +1 631-454-9800 ext. 1162
• Email: Contact details are available through their secure website.
• Live Chat: A live chat feature does not appear to be currently offered on their website.

Availability of 24/7 Support and Multilingual Assistance: While 24/7 support and multilingual assistance are not explicitly mentioned, the company is known for its dedication to providing responsive and helpful customer service. For specific requirements, it is recommended to contact SCS directly to confirm the availability of these services.

Pros and Cons of Support Claim Services Insurance

Pros

Advantages: Several key advantages set SCS apart from its competitors:

• Efficient Virtual Claims System: This system contributes to faster report turnaround times, resulting in increased efficiency and cost savings for clients.
• Comprehensive Services: The company offers a diverse range of services, addressing various needs within the medical-legal field.
• HIPAA Compliance: The commitment to HIPAA compliance ensures the protection and security of sensitive patient information.

Cons

Potential Drawbacks: While SCS presents many advantages, some potential drawbacks should be noted:

• Limited Information on Premium Rates: The lack of readily available information on specific pricing can make direct cost comparisons with competitors challenging.
• No Specific Discounts or Promotions: The absence of discounts or promotional offers could be a factor for some clients seeking cost-saving opportunities.

Conclusion

Summary of the Main Points Covered in the Review: Support Claim Services, Inc. establishes itself as a reputable entity within the medical cost containment industry, recognized for its robust virtual claims system and comprehensive service portfolio. Although details on premium pricing and promotional offers are limited, the company's commitment to regulatory compliance and efficient service delivery is evident. Their dedication to customer service and high-quality service delivery remains a significant strength.

Recommendations on Who Would Benefit Most from the Company’s Insurance Offerings:

• Attorneys and insurance companies seeking efficient and dependable medical cost containment solutions.
• Clients requiring a broad spectrum of services including IMEs, Peer Reviews, and Bill Reviews.

Frequently Asked Questions about Support Claim Services Insurance

Q: What services does SCS offer?

A: SCS offers a wide array of services, including Independent Medical Examinations (IMEs), Peer Reviews, Bill Reviews, Medical Records Review, Surgical Review, Radiology Reviews, Medicare Set Aside (MSA) services, Litigation Support, and Functional Capacity Evaluations. They provide customized solutions to meet specific client needs.

Q: How does SCS handle patient information?

A: SCS maintains a rigorous HIPAA-compliant environment to ensure the security and confidentiality of all patient information.

Q: What is the process for requesting services?

A: Clients can typically initiate service requests through the company's secure website. This often allows for case monitoring and email alerts regarding report delivery. Details about the specific process can be confirmed by contacting SCS directly.

References

• [1] https://rocketreach.co/support-claim-services-inc-profile_b5d753cbf42e3cff
• [2] https://getkoala.com/companies/supportclaimservices.com
• [3] https://www.scsime.com/about/