Modern Medical, making your job easier, more efficient and cost effective.

1. A Day in the Life of a Claims Adjuster

2. 8:00 am Monday
I’ve been assigned a new claim…

3. Communicate and
follow up with Doctor
800-555-1234
hts@doctor.com
Communicate and
follow up with
claimant
123-555-4567
rj@claimant.com
Communicate and
follow up with
Attorney
800-555-5678
jsr@attorney.com
*Disclaimer: Fictitious phone numbers and
email addresses are used here.
8:30 am - Made calls to contact the claimant, doctor and attorney…

4. Communicate and
follow up with Doctor
800-555-1234
hts@doctor.com
Communicate and
follow up with
claimant
123-555-4567
rj@claimant.com
Communicate and
follow up with
Attorney
800-555-5678
jsr@attorney.com
*Disclaimer: Fictitious phone numbers and
email addresses are used here.
10:30 am - Contacted others involved with the claim while waiting on
return calls…
Communicate and
follow up with
Discharge Planner
800-555-3456
tyu@dcp.com
Communicate and
follow up with Field
Case Manager
800-555-6789
iop@fcm.com
Communicate and
follow up with Vendor
800-555-2345
abc@vendor.com

5. Communicate and
follow up with Doctor
800-555-1234
hts@doctor.com
Communicate and
follow up with
claimant
123-555-4567
rj@claimant.com
Communicate and
follow up with
Attorney
800-555-5678
jsr@attorney.com
*Disclaimer: Fictitious phone numbers and
email addresses are used here.
Communicate and
follow up with
Discharge Planner
800-555-3456
tyu@dcp.com
Communicate and
follow up with Field
Case Manager
800-555-6789
iop@fcm.com
Communicate and
follow up with Vendor
800-555-2345
abc@vendor.com
Locate Vendor to
provide equipment
800-555-6987
cdf@equip.com
Coordinate delivery
of equipment
800-555-1479
lac@delivery.com
Order additional
supplies for
equipment
800-555-3697
bvn@supplies.com
Retrieve equipment
800-555-3214
return@dme.com
12:30 pm – Located vendor and coordinated equipment delivery,
but still have follow up calls…

6. Communicate and
follow up with
Doctor
800-555-1234
hts@doctor.com
Communicate and
follow up with
claimant
123-555-4567
rj@claimant.com
Communicate and
follow up with
Attorney
800-555-5678
jsr@attorney.com
Communicate and
follow up with
Discharge Planner
800-555-3456
tyu@dcp.com
Communicate and
follow up with Field
Case Manager
800-555-6789
iop@fcm.com
Communicate and
follow up with Vendor
800-555-2345
abc@vendor.com
Locate Vendor to
provide equipment
800-555-6987
cdf@equip.com
Coordinate delivery
of equipment
800-555-1479
lac@delivery.com
Order additional
supplies for
equipment
800-555-3697
bvn@supplies.com
Retrieve equipment
800-555-3214
return@dme.com
2:30 pm – Just discovered the claimant needs transportation…
Locate
Transportation
Vendor
ask@vendor.com
800-555-6987
Schedule
appointments for
claimant
sched@appt.com
800-555-3697
Confirm/verify
addresses
add@confirm.com
800-555-7891
*Disclaimer: Fictitious phone numbers and
email addresses are used here.

7. Communicate and
follow up with
Doctor
800-555-1234
hts@doctor.com
Communicate and
follow up with
claimant
123-555-4567
rj@claimant.com
Communicate and
follow up with
Attorney
800-555-5678
jsr@attorney.com
Communicate and
follow up with
Discharge Planner
800-555-3456
tyu@dcp.com
Communicate and
follow up with Field
Case Manager
800-555-6789
iop@fcm.com
Communicate and
follow up with Vendor
800-555-2345
abc@vendor.com
Locate Vendor to
provide equipment
800-555-6987
cdf@equip.com
Coordinate delivery
of equipment
800-555-1479
lac@delivery.com
Order additional
supplies for
equipment
800-555-3697
bvn@supplies.com
Retrieve equipment
800-555-3214
return@dme.com
4:30 pm - AND home health care…
Locate
Transportation
Vendor
ask@vendor.com
800-555-6987
Schedule
appointments for
claimant
sched@appt.com
800-555-3697
Confirm/verify
addresses
add@confirm.com
800-555-7891
Communicate with
Home Health Agency
abc@care.com
800-555-2345
Schedule, follow up &
confirm appointments
sched@appt.com
800-555-3214
Coordinate IV
medications
ivcare@delivery.com
800-555-1479
*Disclaimer: Fictitious phone numbers and
email addresses are used here.

8. Communicate and
follow up with
Doctor
800-555-1234
hts@doctor.com
Communicate and
follow up with
claimant
123-555-4567
rj@claimant.com
Communicate and
follow up with
Attorney
800-555-5678
jsr@attorney.com
Communicate and
follow up with
Discharge Planner
800-555-3456
tyu@dcp.com
Communicate and
follow up with Field
Case Manager
800-555-6789
iop@fcm.com
Communicate and
follow up with Vendor
800-555-2345
abc@vendor.com
Locate Vendor to
provide equipment
800-555-6987
cdf@equip.com
Coordinate delivery
of equipment
800-555-1479
lac@delivery.com
Order additional
supplies for
equipment
800-555-3697
bvn@supplies.com
Retrieve equipment
800-555-3214
return@dme.com
5:30 PM – Have not followed up on any of my other claims today!
There has to be an easier way…
Locate
Transportation
Vendor
ask@vendor.com
800-555-6987
Schedule
appointments for
claimant
sched@appt.com
800-555-3697
Confirm/verify
addresses
add@confirm.com
800-555-7891
Communicate with
Home Health Agency
abc@care.com
800-555-2345
Schedule, follow up &
confirm appointments
sched@appt.com
800-555-3214
Coordinate IV
medications
ivcare@delivery.com
800-555-1479
*Disclaimer: Fictitious phone numbers and
email addresses are used here.Follow up with the invoicing and payment process.

9. 800-547-3330
www.modernmedical.com
We work harder to make your job easier, more efficient and cost-effective.
8:30 am Monday - I made a call to Modern Medical…

10. (800) 547-3330
modernmedical.com
 Pharmacy Benefit Management
• First fill program/Retail pharmacy cards
• Opioid Defense Manager™
• Formulary Management
• Medication Reviews:
- Drug Indication Report (DIR)
- Basic Medication Review (BMR)
- Independent Pharmaceutical
Evaluation (IPE)
- Peer Review
- Peer Review with IPE
 Durable Medical Equipment
 Orthotics & Prosthetics
 Medical Supplies
 Electrotherapy
 Home & Vehicle Modifications
 Home Health Services
 IV Infusion Therapy
 Transportation Services
 Translation Services
Modern Medical offers the following services:
Technology, Solutions, Service. Guaranteed!

11.  Communicate and Follow Up with Claimant  Locate Vendor to Provide Equipment
 Communicate and Follow Up with Attorney  Coordinate Delivery of Equipment
 Communicate and Follow Up with Field Case Manager  Order additional Supplies for Equipment
 Communicate and Follow Up with Discharge Planner  Retrieve equipment
 Communicate and Follow Up with Doctor  Communicate with UR/Bill Review
 Communicate and Follow Up with TPA
 Communicate and Follow Up with Vendor
In addition, Modern Medical provides:
 Utilization Management  Claimant progress reports
800-547-3330
www.modernmedical.com
Ancillary@modernmedical.com
We work harder to make your job easier, more efficient and cost-effective.
Durable Medical Equipment

12.  Communicate and Follow Up with Claimant  Locate Transportation vendor
 Communicate and Follow Up with Attorney  Schedule appointments for Claimants
 Communicate and Follow Up with Field Case Manager  Confirm/verify addresses
 Communicate and Follow Up with Discharge Planner  Communicate with UR/Bill Review
 Communicate and Follow Up with Doctor
 Communicate and Follow Up with TPA
 Communicate and Follow Up with Vendor
In addition, Modern Medical provides:
 Pre-appointment confirmation with Claimant  Confirm appointment with transportation provider
 Facility arrival confirmation  Weekly notes
800-547-3330
www.modernmedical.com
Ancillary@modernmedical.com
We work harder to make your job easier, more efficient and cost-effective.
Transportation

13.  Communicate and Follow Up with Claimant  Locate Home Care Agency
 Communicate and Follow Up with Attorney  Coordinate IV medications
 Communicate and Follow Up with Field Case Manager  Schedule, follow up & confirm
 Communicate and Follow Up with Discharge Planner appointments
 Communicate and Follow Up with Doctor  Order and coordinate delivery of supplies
 Communicate and Follow Up with TPA  Utilization management
 Communicate and Follow Up with Home Care Agency  Communicate with UR/Bill Review
In addition, Modern Medical provides:
 Monitoring of Claimant’s progress  Weekly notes  Handling special requests
800-547-3330
www.modernmedical.com
Ancillary@modernmedical.com
We work harder to make your job easier, more efficient and cost-effective.
Home Health Care

14. 800-547-3330
www.modernmedical.com
We work harder to make your job easier, more efficient and cost-effective.
8:45 am Monday - I’m able to get on with my day
and know that my claimant is in trusted hands.