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Tailored solutions with the Power of AnthemSM

Anthem Workers’ Compensation (AWC) offers PPO network solutions for Workers’ Compensation cases in our growing multi-state service area. AWC programs and services give self-insured employers and insurance carriers the power to better manage Workers’ Compensation costs and benefits.

Medical Management is a key component of Anthem Workers’ Compensation (AWC). Our program meets the budgetary and operational needs of our clients, and helps ensure proper care management for injured workers. With AWC, full recovery doesn’t have to mean high costs and increasing experience modifications.

Our Philosophy

AWC believes the best way to serve our clients is to deliver access to:
  • Doctors and facilities that provide safe, appropriate care to injured workers at competitive PPO discounts; and
  • Cost effective medical management strategies.

Our Staff

We know the business. Our staff of seasoned Workers’ Compensation professionals includes:
  • A full time Medical Director who well-versed in Workers’ Compensation.
  • A highly qualified Physician Advisory panel, including multiple board certified medical specialists.
  • Registered nurses with extensive Workers’ Compensation, disability and case management experience.
  • Account Management support for every client.

Medical Management Components

AWC clients and their employees have access to complete Medical Management services, including:
  • URAC-accredited Utilization Review for Workers’ Compensation. URAC is a leader in promoting health care quality through its accreditation and certification programs.
  • Telephonic Case Management (TCM), offering consistent case management services. Case Management can be performed on a traditional basis until return to work is achieved, or on an interventional basis.
  • Assistance to employers in safe return-to-work structure.

The Anthem Workers’ Compensation Advantage

We take Workers’ Compensation Medical Management to a new standard of excellence. AWC clients benefit from:
  • Application of nationally recognized evidence-based clinical criteria, including American College or Occupational and Emergency Medicine (ACOEM), McKesson Interqual Criteria, WellPoint National Medical Policy and Technology, ODG and Pressley Reed Medical Disability Guidelines.
  • A proprietary specialty–matched Physician Advisory panel
  • Our ability to track and monitor physical therapy, chiropractic and occupational therapy visits authorized on each claim.
  • Broad, client-friendly reporting package demonstrating the effectiveness of Medical Management Services.

For more information regarding Anthem Workers’ Compensation Medical Management products and services, please complete our Request for Information form where an AWC representative will get back with you.