Federal Services
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The Veterans Benefits Administration (VBA) disability medical examination, also known as a VA Claim Exam or C&P exam, (compensation and pension exam) is a medical assessment that helps determine the severity of a veteran’s disability and whether it’s service-connected.
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Dane Street offers comprehensive support to the health plans, pharmacy benefit managers (PBMs), and both state and federal entities, including Medicaid, Medicare, ACA Exchanges, and Duals programs. Our services encompass Prior Authorization Initial Reviews and specialty-matched Appeal Reviews, designed to enhance the Utilization Management (UM) process.
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Dane Street is a URAC-certified and NCQA-accredited Independent Review Organization (IRO) that services Health Plans, Pharmacy Benefit Managers (PBM), Third Party Administrators (TPA), Self-Administered Employee Benefits Groups, Utilization Management (UM) Organizations, and Government Agencies nationwide.
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The Independent Dispute Resolution process emanated from the No Surprises Act, a consumer protection legislation designed to protect individuals (through their insurers, medical providers, or hospitals) from receiving unexpected high-dollar medical bills.
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OWCP requires Independent Medical Examinations or Second Opinion Medical Examinations as well as Functional Capacity Exams to ensure that workers on Federal programs are receiving the right care and that the treatments are appropriate for the diagnoses that the injured worker has received are appropriate.
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Dane Street specializes in Independent Medical Examinations (IMEs) and Record Reviews for Federal claims under the LHWCA, including its related statutes such as the Jones Act, Defense Base Act, and Federal Employees’ Compensation Act.
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Dane Street provides second opinion examinations and medical review services with indepdent, board certified physician specialists designed to assist carriers, self-insured entities, third-party administrators, and government agencies in clarifying work-related conditions, assessing disability extent, determining work capacity, and addressing other critical issues for expedited and accurate claim resolution.
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