Comprehensive Third-Party Demand Package Review

Third-Party Liability Claims — Resolved.

Defensible medical bill audits. Expert nurse clinical review. Clear negotiation strategy — seamlessly integrated into your existing claims management workflow.

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47%
Avg. Bill Reduction
$242M+
Billed Charges Reduced
100%
RMIS Integration
The Specialist Advantage

One Discipline. Done Exceptionally.

Large platforms treat demand package review as one feature among dozens. DemandPro does one thing — certified, two-tier demand package review — and delivers it to the same exacting standard on every claim. That's the difference between a feature and a specialty.

The Problem We Solve

Manual Review Is Costing You Money

Rising bodily injury settlements, complex medical records, and limited adjuster time leave significant savings on the table — claim after claim.

Claims documentation review Demand Package Review
01

Rising Settlement Severity

Bodily injury severity and settlement amounts continue to increase year over year, creating mounting pressure on claims programs.

02

Time-Consuming Manual Review

Slow, inconsistent demand package review leaves adjusters overwhelmed and significant cost savings uncaptured on every claim.

03

Limited Clinical Expertise

Without certified medical analysis, adjusters lack the defensible clinical documentation needed to negotiate fair settlements with confidence.

The DemandPro Approach

A Comprehensive Two-Tier Review

All reviews conducted by certified coders and nurses — ensuring consistent, defensible, court-ready analysis, claim after claim.

I
Tier I

Medical Bill Audit

Certified coders review every bill against jurisdiction-specific fee schedules, flagging improper coding, unbundling, and excessive charges across all bill types.

  • Inpatient & outpatient billing review
  • Diagnostic & prescription audit
  • NCCI coding edits applied
  • Unbundling & excessive charge identification
II
Tier II

Expert Nurse Clinical Review

Certified nurses analyze causality, identify unrelated treatments, assess medical necessity, and deliver clear, actionable negotiation recommendations.

  • Causality & relatedness analysis
  • Unrelated treatment identification
  • Medical necessity assessment
  • Defensible clinical documentation
The Seamless Automated Workflow

100% RMIS Integration

Syncs directly with your existing claims management system.

Proprietary Package Assembly

Medical records organized chronologically into adjuster-ready packages.

Complete Audit Trail

Full visibility with time-stamped documentation for every review step.

Why DemandPro

Built for Insurers, TPAs & Self-Insureds Who Demand More

Consistent. Certified. Court-ready.

Reduce Settlements

Expert review identifies unrelated treatments and overbilling to measurably reduce settlement amounts. Stop leaving money on the table.

Defensible Settlements

Negotiate with confidence using clinically defensible documentation that reduces litigation risk. Every package court-ready from day one.

Save Adjuster Time

Pre-organized, expert-reviewed packages save hours of manual review time per claim — freeing adjusters to focus on resolution.

Faster Resolution

Streamlined, integrated workflow accelerates demand package processing from receipt to settlement. Close claims faster with greater confidence.

Built to Be Accessible

Per-Claim Pricing. Start With a Pilot.

No enterprise contract. No platform migration. Begin with a pilot, prove the results on your own claims, and scale on a straightforward per-claim basis — clinical rigor without the enterprise commitment.

Start a Pilot
Who We Serve

Built for Your Role in the Claim

Insurance Carriers

Reduce BI settlement severity with certified, consistent demand package review — without adding headcount or changing your claims platform.

TPAs

Add a certified medical review layer to your demand package workflow — and differentiate your TPA offering without building the capability in-house.

Self-Insureds

Challenge demand packages with the same clinical expertise large carriers use — without the enterprise budget or in-house clinical staff.

What You Get With Every Review

A Complete Settlement-Ready Package

Everything your adjusters need to negotiate confidently — organized, documented, and delivered through your RMIS.

Proprietary Medical Treatment Calendar
Line-by-line bill analysis with recommended adjustments
Chronologically organized medical records
Causality & treatment relatedness analysis
Comprehensive Nurse Audit Report
Targeted negotiation strategy & key settlement points
Identification of missing or essential documentation
Complete time-stamped audit trail
Defensible, court-ready clinical documentation
Free Download

Product Overview

Comprehensive Third-Party Demand Package Review & Settlement Preparation

Tier I — Medical Bill Audit
Tier II — Expert Nurse Clinical Review
Negotiation Strategy & Settlement Points
100% RMIS Integration
Court-Ready Clinical Documentation

Consistent. Certified. Court-ready.

Product Overview

Download the DemandPro Tear Sheet

Everything you need to understand DemandPro — in one concise, shareable document. Perfect for internal review, vendor evaluation, or sharing with your claims leadership team.

  • The full two-tier review process — how Tier I bill auditing and Tier II nurse clinical review deliver defensible settlements.
  • Complete deliverables breakdown — every report and document included in your settlement-ready package.
  • Technology & integration overview — how DemandPro plugs seamlessly into your existing RMIS and workflow.
  • Key value propositions — reduced settlements, defensible documentation, saved adjuster time, faster resolution.
Download the Tear Sheet

PDF · 1 page · No form required

Get Started

Ready to Transform Your Claims Program?

Contact us today to learn how DemandPro can strengthen your liability claims program and deliver measurable results.

Email
info@claimdemandpro.com
Web
claimdemandpro.com

"Consistent. Certified. Court-ready."

Every review delivered to the same rigorous standard — claim after claim.

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Fill out the form and our team will reach out within one business day.